Family History: breast cancer, heart disease. Allergy: Penicillin.

Multiple sexual partners.

A nurse in a prenatal clinic is reviewing the laboratory results for a client who is at 12 weeks of gestation.

Which of the following actions should the nurse take?

Administer rubella vaccine.

Administer ceftriaxone IM.

Obtain a blood culture.

Obtain a maternal serum alpha-fetoprotein specimen.

Answer and Explanation

The Correct Answer is D

The nurse should obtain a maternal serum alpha-fetoprotein (MSAFP) specimen for a client at 12 weeks of gestation.

MSAFP is a screening tool used to identify fetal neural tube defects (NTDs) such as spina biﬁda and anencephaly.

Elevated levels of MSAFP indicate an increased risk for NTDs, while low levels indicate an increased risk for chromosomal abnormalities such as Down syndrome.

Administering rubella vaccine (A) is contraindicated during pregnancy as it is a live vaccine and can cause fetal harm.

Administering ceftriaxone IM (B) and obtaining a blood culture (C) are not indicated based on the information provided about the client.

The client's allergy to penicillin is not relevant to the nurse's immediate action.

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Correct Answer is C

Explanation

A nurse should report absent deep-tendon reﬂexes to the provider when a client is receiving magnesium sulfate via continuous IV infusion.

This is because reduced tendon reﬂexes can be a side eﬀect of magnesium sulfate use during pregnancy.

Choice A is not correct because a decrease in the frequency of contractions is an expected outcome of magnesium sulfate use as a tocolytic to stop preterm labor.

Choice B is not correct because a urinary output of 35 mL/hr is within the normal range.

Choice D is not correct because an elevated blood pressure is not a known side eﬀect of magnesium sulfate use during pregnancy.

A. "You should place your toddler in time-out if she exhibits regressive behavior B. "You should move your toddler out of her crib 2 weeks prior to your due date." C. "You should hold your newborn in your arms when you introduce him to your toddler.” D. "You should tell your toddler that the baby will need all your attention, but they will still be important."

Correct Answer is C

Explanation

Correct answer: C-"You should hold your newborn in your arms when you introduce him to your toddler.”

Choice A is not an answer because this approach is not suitable for dealing with regressive behaviors in toddlers. Regressive behavior, such as wanting to sleep in the crib or revert to bottle-feeding, is a normal response to the stress of a new sibling. Instead of punishment, parents should provide reassurance, comfort, and understanding. Time-outs may exacerbate feelings of insecurity rather than alleviate them.

Choice B is not an answer because While transitioning a toddler out of the crib can be a part of preparation, it should not be rushed. Doing so too early may create unnecessary stress for the toddler. The best time to make significant changes (like transitioning to a bed) is when the toddler is ready, and it should be done with care and gradual preparation, not too close to the arrival of the baby.

Choice C is the most appropriateanswer becauseIt’s important to allow the toddler to feel involved and included in the process, but holding the newborn during the introduction helps minimize feelings of jealousy and ensures the toddler doesn't feel displaced. Holding the baby allows the toddler to approach the situation more calmly, and it can also help foster a sense of love and comfort for both the toddler and the newborn.

Choice D:While it’s important to reassure the toddler that they are still loved and important, this statement might unintentionally increase anxiety or make the toddler feel less valued. Instead, the nurse should encourage a positive approach, where the toddler can learn how to be a helper and feel involved in the care of the newborn. It’s essential to focus on inclusivity rather than highlighting potential feelings of neglect.

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Family History: breast cancer, heart disease. Allergy: Penicillin. Multiple sexual partners. A nurse in a prenatal clinic is reviewing the laboratory results for a client who is at 12 weeks of gestation. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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Family History: breast cancer, heart disease. Allergy: Penicillin.

Multiple sexual partners.

A nurse in a prenatal clinic is reviewing the laboratory results for a client who is at 12 weeks of gestation.

Which of the following actions should the nurse take?