A nurse is teaching a client who is pregnant about the risk factors for pre-term labor.

Which of the following statements by the client indicates a need for further teaching?

“I should avoid smoking and drinking alcohol during pregnancy.”

“I should report any vaginal bleeding or fluid leakage to my provider.”

“I should limit my physical activity and rest as much as possible.”

“I should drink plenty of fluids and eat a balanced diet.”.

Answer and Explanation

The Correct Answer is C

The client should not limit their physical activity and rest as much as possible, unless advised by their provider. Excessive rest and inactivity can increase the risk of blood clots and decrease blood circulation, which can affect the placenta and the fetus. The client should follow the recommended guidelines for physical activity during pregnancy, unless they have a medical condition that requires bed rest or reduced activity.

Choice A is wrong because smoking and drinking alcohol during pregnancy are known risk factors for preterm labor and birth. Smoking can reduce blood flow to the placenta and affect fetal growth and development, while alcohol can cause fetal alcohol spectrum disorders and other complications.

Choice B is wrong because reporting any vaginal bleeding or fluid leakage to the provider is important to prevent or treat preterm labor and birth. Bleeding can indicate placenta previa or placental abruption, which are serious conditions that can cause premature delivery or fetal distress. Fluid leakage can indicate rupture of membranes, which can increase the risk of infection and preterm labor.

Choice D is wrong because drinking plenty of fluids and eating a balanced diet are beneficial for the health of the mother and the fetus. Dehydration can cause uterine contractions and trigger preterm labor, while malnutrition can affect fetal growth and development. A balanced diet can also help prevent or manage conditions like diabetes, high blood pressure, and anemia, which are risk factors for preterm labor and birth.

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Correct Answer is D

Explanation

Terbutaline can cause low potassium levels in the blood, which can lead to muscle weakness, cramps, and cardiac arrhythmias.

This is a potential adverse effect of the medication that should be reported to the provider.

Choice A is wrong because tachycardia is a common side effect of terbutaline that does not usually require medical attention.

Terbutaline works by stimulating beta-adrenergic receptors, which can increase the heart rate.

Choice B is wrong because hypotension is not a typical side effect of terbutaline.Terbutaline can actually cause elevated blood pressure in some cases.

Choice C is wrong because hyperglycemia is not a common side effect of terbutaline.Terbutaline can cause transient hyperglycemia in pregnant women, but this is not a reason to stop the medication.

Normal ranges for potassium are 3.5-5.0 mEq/L and for blood glucose are 70-110 mg/dL.

A. Reduce inflammation in the uterus B. Enhance fetal lung maturity C. Prevent infection in the amniotic fluid D. Increase blood flow to the placenta

Correct Answer is B

Explanation

Betamethasone is a corticosteroid that is given to pregnant women who are at risk of preterm delivery to enhance fetal lung maturity.Betamethasone stimulates the production of surfactant, a substance that lubricates the lungs and prevents them from collapsing when the baby breathes.This reduces the risk of respiratory distress syndrome and other complications in preterm infants.

Choice A is wrong because betamethasone does not reduce inflammation in the uterus.

Choice C is wrong because betamethasone does not prevent infection in the amniotic fluid.

Choice D is wrong because betamethasone does not increase blood flow to the placenta.

Normal ranges for gestational age are 37 to 42 weeks.

Preterm birth is defined as delivery before 37 weeks of gestation.Antenatal corticosteroids are recommended for women between 24 and 34 weeks of gestation who are at risk of preterm delivery within 7 days, and may be considered for women at 23 weeks of gestation or between 34 and 37 weeks of gestation depending on the clinical scenario.

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A nurse is teaching a client who is pregnant about the risk factors for pre-term labor. Which of the following statements by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client who is receiving terbutaline for pre-term labor. Which of the following findings should the nurse report to the provider as a potential adverse effect of the medication?

Correct Answer is D

Explanation

A nurse is administering betamethasone to a client who is in pre-term labor at 28 weeks of gestation. The nurse should explain that the purpose of this medication is to:

Correct Answer is B

Explanation

A client in pre-term labor is being discharged from the hospital. What should the nurse include in the client's discharge plan?

A nurse is reviewing the laboratory results of a client who is in pre-term labor and has received indomethacin. Which of the following findings should the nurse monitor for as a potential complication of the medication?

A nurse is monitoring a client who is at 29 weeks of gestation and has pre-term labor. The client is receiving magnesium sulfate IV infusion. Which of the following are expected adverse effects of this medication? (Select all that apply)

A nurse is caring for a pregnant client at 36 weeks of gestation who reports low back pain and pelvic pressure. Which intervention should the nurse implement first?

A client in pre-term labor is being discharged from the hospital. What should the nurse include in the client's discharge plan?

A nurse is performing a digital examination on a client who is at 34 weeks of gestation and has pre-term labor. Which of the following findings indicates cervical effacement?

A nurse is planning care for a pre-term newborn who has a diagnosis of intraventricular hemorrhage (IVH). Which of the following interventions should the nurse include in the plan?

A nurse is caring for a client who is in pre-term labor and receiving magnesium sulfate therapy. The nurse should monitor the client for which of the following adverse effects of magnesium sulfate?

A nurse is teaching a client who is pregnant about the risk factors for pre-term labor.

Which of the following statements by the client indicates a need for further teaching?