The nurse is administering Terbutaline (Brethine) to a pregnant woman to stop preterm labor. Which finding indicates an adverse reaction and the Physician must be notified?
Select one:

Maternal hypotension

Pulmonary edema.

Fetal bradycardia

Fetal hypokalemia

Answer and Explanation

The Correct Answer is B

a.   Maternal hypotension is not a common side effect of terbutaline, which is a beta-adrenergic agonist that can cause tachycardia and hypertension.
b.   Pulmonary edema is a serious complication of terbutaline therapy, which can cause fluid overload, dyspnea, chest pain, and crackles in the lungs. The nurse should monitor the woman's vital signs, oxygen saturation, urine output, and lung sounds, and report any signs of pulmonary edema to the physician immediately.
c.   Fetal bradycardia is not related to terbutaline, which can cause fetal tachycardia.
d.   Fetal hypokalemia is also not associated with terbutaline, which can cause maternal hypokalemia due to increased potassium uptake by the cells.

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Correct Answer is B

Explanation

a. This is not the correct choice because the woman has signs of magnesium toxicity, such as low urine output, high blood pressure, and increased DTR. Continuing the infusion could worsen her condition and put her and the fetus at risk.

b. This is the correct choice because the woman needs to be treated for magnesium toxicity, which is a serious complication of preeclampsia. Stopping the infusion will prevent further accumulation of magnesium in her body and allow her to excrete the excess.
c. This is not the correct choice because it will delay the treatment of magnesium toxicity, which is a medical emergency. The woman's vital signs and symptoms are enough to indicate that she has a high level of magnesium and needs immediate intervention.
d. This is not the correct choice because it will not address the underlying cause of magnesium toxicity, which is the infusion. Oxygen may help with some symptoms, such as respiratory depression, but it will not reverse the effects of magnesium on the nervous system and blood vessels.

A. Variable decelerations are due to umbilical cord compression B. Variable decelerations are related to fetal head compression. C. Variable decelerations are caused by uteroplacental insufficiency. D. Variable decelerations are a result of the administration of IV narcotic analgesics. E. Variable decelerations are a result of the administration of IV narcotic analgesics.

Correct Answer is A

Explanation

a. Variable decelerations occur due to umbilical cord compression, typically when the cord is compressed during contractions or when the cord is wrapped around the fetal neck or body.
b. Early decelerations are typically related to fetal head compression and are not associated with variable decelerations.
c. Late decelerations are caused by uteroplacental insufficiency and are not associated with variable decelerations.
d. IV narcotic analgesics can cause late decelerations, not variable decelerations.

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The nurse is administering Terbutaline (Brethine) to a pregnant woman to stop preterm labor. Which finding indicates an adverse reaction and the Physician must be notified? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?

Correct Answer is A

Explanation

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The nurse is administering Terbutaline (Brethine) to a pregnant woman to stop preterm labor. Which finding indicates an adverse reaction and the Physician must be notified?
Select one: