The nurse is preparing discharge instructions for a stable patient with a placenta previa. Instructions should include all of the following except:

Return to the hospital at onset of next bleeding episode

Strict bedrest

Pelvic rest until delivery

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Answer and Explanation

The Correct Answer is B

Bedrest is no longer recommended as it does not improve outcomes and may increase the risk of complications such as thromboembolism and pneumonia. Instead, patients with a placenta previa should be advised to avoid activities that may increase pelvic pressure, such as sexual intercourse, heavy lifting, and strenuous exercise. The other options are appropriate instructions to include in the patient's discharge plan.

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Correct Answer is C

Explanation

This is because magnesium sulfate can cause respiratory depression, and a respiratory rate of 10 breaths/minute is significantly lower than the normal range of 12-20 breaths/minute. Other factors such as blood pressure of 138/88, the urinary output of 40 ml/hr, and patellar reflex of +2 should also be monitored, but they would not necessarily warrant immediate discontinuation of the magnesium sulfate infusion.

A. Your respiratory rate may slow down, so make sure to monitor your breathing rate! B. You will most likely be hospitalized until delivery while on your medication C. You should try to get up slowly and drink plenty of fluids D. You will stop this medication at 28 weeks.

Correct Answer is C

Explanation

Nifedipine is a calcium channel blocker that can cause hypotension as a side effect, so the client should be advised to rise slowly from a sitting or lying position to avoid dizziness or fainting. The client does not necessarily need to be hospitalized and should continue taking the medication until a healthcare provider advises otherwise. The medication is typically continued until around 36-37 weeks gestation. There is no need to monitor respiratory rate with this medication.

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The nurse is preparing discharge instructions for a stable patient with a placenta previa. Instructions should include all of the following except:

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a 30-week gestation client who was loaded on a magnesium sulfate infusion one hour ago for preterm labor. Which of the following assessment findings would warrant the infusion to be discontinued immediately?

Correct Answer is C

Explanation

Educating a client about starting nifedipine (Procardia) for preterm labor prevention, the nurse knows that her educational plan for this client should include which of the following?

Correct Answer is C

Explanation

The most common indication for a vacuum-assisted delivery is:

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