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 D

Explanation

a. Spontaneous rupture of the membranes (SROM) may or may not occur during labor and is not a reliable sign.

b. Engagement of the presentation is the descent of the fetal head or breech into the pelvis and can occur before labor begins.
c. Irregular contractions can occur during false labor (Braxton Hicks contractions) and are not a reliable sign of true labor.
d. Cervical effacement is the thinning and shortening of the cervix that occurs during labor. It is a sign of true labor, along with cervical dilation and regular contractions.

A. ROA B. RSA C. LOA D. LSP

Correct Answer is C

Explanation

a. ROA means right occiput anterior, which would imply that the fetal back is on the mother's right side.
b. RSA means right sacrum anterior, which would imply that the fetal buttocks are in the pelvis inlet and the fetal head is in the fundus.
c. LOA, which means left occiput anterior means that the fetus is in a longitudinal lie, with its head as the presenting part, facing the right posterior quadrant of the mother's pelvis, and its back on the mother's left anterior side. This is one of the most common and favorable fetal positions for delivery.
d. LSP means left sacrum posterior, which would imply that the fetal buttocks are on the mother's left side and slightly rotated toward the back (posterior).

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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

A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is "not really sure if she is in labor or not." Which of the following should the nurse recognize as a sign of true labor?

Correct Answer is D

Explanation

When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm, movable fetal part in the pelvis inlet and a long, smooth, and soft surface in the mother's left side close to the midline. What is the likely position of the fetus? Select one:

Correct Answer is C

Explanation

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The nurse providing care for the laboring woman recognizes that late fetal heart rate (FHR) decelerations are caused by: Select one:

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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: