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A nurse manager on a labor and delivery unit is discussing care of clients who have vaginal bleeding due to placenta previa with a newly licensed nurse. Which of the following statements should the nurse manager make?

"Administer corticosteroids if the client is at more than 34 weeks of gestation."

"Initiate continuous monitoring of the FHR and uterine contractions."

"Administer terbutaline subcutaneously if the client experiences uterine atony."

"Perform a vaginal exam to determine cervical dilation."

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Administering corticosteroids is relevant for clients at risk of preterm labor, not specifically for placenta previa.

Choice B rationale:

Placenta previa can lead to bleeding and potential fetal distress. Continuous monitoring of fetal heart rate (FHR) and uterine contractions is essential to promptly identify any signs of distress.

Choice C rationale:

Terbutaline is a tocolytic medication used to suppress uterine contractions, and it's not relevant for managing uterine atony associated with placenta previa.

Choice D rationale:

Performing a vaginal exam can further increase the risk of bleeding in cases of placenta previa and is generally contraindicated due to the risk of disturbing the placental site.

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Correct Answer is A

Explanation

Choice A rationale:

Elevating the head of the bed can help prevent intracranial pressure by promoting venous drainage from the head.

Choice B rationale:

Premature newborns need to rest and conserve energy, so excessive stimulation every 2 hours is not recommended.

Choice C rationale:

Placing the newborn in a radiant warmer helps maintain a stable body temperature, but it does not directly address intracranial pressure.

Choice D rationale:

Administering hypertonic solution is not a standard intervention for decreasing intracranial pressure in a premature newborn.

A. "Take this medication twice per day." B. "Constipation is a common adverse effect of this medication." C. "Change positions slowly after taking this medication." D. "You should expect temporary visual changes while taking this medication."

Correct Answer is D

Explanation

Choice A rationale:

Sildenafil is typically taken as needed, not twice per day.

Choice B rationale:

Constipation is not a common adverse effect of sildenafil.

Choice C rationale:

Changing positions slowly after taking the medication is not related to sildenafil's mechanism of action.

Choice D rationale:

Sildenafil is a medication used to treat erectile dysfunction. Temporary visual changes, often described as a blue-green tinge or increased light sensitivity, are potential side effects of sildenafil due to its effect on the retinal enzyme.

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A nurse manager on a labor and delivery unit is discussing care of clients who have vaginal bleeding due to placenta previa with a newly licensed nurse. Which of the following statements should the nurse manager make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is D

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