min. Provider was notified of the client's status and assessment, and new orders were received.

Medical History: The client has a history of three previous pregnancies (Gravida 4 Para 3).Querry: The nurse is contacting the primary health care provider regarding the client's status.

Which of the following interventions should the nurse anticipate? Select the 3 interventions the nurse should anticipate.

Give betamethasone 12 mg IM now and repeat in 24 hr.

Begin loading dose of magnesium sulfate 9 g over 30 min.

Position the client in a lateral position.

Administer terbutaline 0.25 mg subcutaneous stat.

E. Prepare for an emergency cesarean birth

Question Solution

Correct Answer : A,B,C

Choice A: Give betamethasone 12 mg IM now and repeat in 24 hr.

Rationale: Betamethasone is administered to accelerate fetal lung maturity in cases of preterm labor. Given the client's gestational age of 31 weeks, this intervention is appropriate to help reduce the risk of respiratory distress syndrome in the newborn.

Choice B: Begin loading dose of magnesium sulfate 9 g over 30 min.

Rationale: Magnesium sulfate is used for neuroprotection of the fetus in preterm labor to reduce the risk of cerebral palsy. The loading dose is typically given to achieve therapeutic levels quickly.

Choice C: Position the client in a lateral position.

Rationale: Positioning the client in a lateral position helps improve uteroplacental blood flow and can reduce the intensity of contractions, which is beneficial in managing preterm labor.

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A. Copious vernix. B. Dry, cracked skin. C. Increased subcutaneous fat. D. Scant scalp hair.

Correct Answer is B

Explanation

Choice A rationale

Copious vernix is typically found on preterm newborns, not those born post-term.

Choice B rationale

Dry, cracked skin is a common finding in post-term newborns due to prolonged exposure to amniotic fluid.

Choice C rationale

Decreased subcutaneous fat is more likely in preterm newborns, while post-term newborns might lose some fat due to nutrient depletion.

Choice D rationale

Scant scalp hair is more common in preterm infants, whereas post-term infants usually have more developed hair. .

A. Administer prescribed antipyretics for maternal fever. B. Prepare the client for emergency cesarean section. C. Administer glucocorticoids intramuscularly. D. Recheck the client's temperature in 4 hr.

Correct Answer is A

Explanation

Choice A rationale

Administering antipyretics for maternal fever is essential as elevated maternal temperatures can increase the risk of fetal tachycardia and potentially lead to fetal distress. Reducing

fever promptly is a priority to stabilize both maternal and fetal conditions.

Choice B rationale

Preparing for an emergency cesarean section is not the immediate step for maternal fever; instead, managing the fever and assessing the need for further interventions based on the

overall clinical picture should be prioritized.

Choice C rationale

Administering glucocorticoids is indicated for promoting fetal lung maturity in preterm labor, not specifically for maternal fever management. Fever management requires antipyretics

and hydration.

Choice D rationale

Waiting 4 hours to recheck temperature delays prompt management, increasing risks for both the mother and fetus. Immediate action to reduce fever is crucial to prevent potential

complications.

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Correct Answer is B

Explanation

Correct Answer is A

Explanation

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A nurse is assessing a newborn who was born at 42 weeks of gestation. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is providing care to a woman who is at 36 weeks of gestation and in preterm labor with ruptured membranes. The nurse determines that the client's oral temperature is 39.0 C (102.2 F). Besides notifying the provider, which of the following is an appropriate nursing action?

Correct Answer is A

Explanation

A nurse is walking by a client's room and can hear the fetal heart rate dropping. The nurse observes the heartbeat and interprets the monitor strip as indicating which of the following?

A nurse is caring for a client whose pregnancy was complicated by polyhydramnios and is now 5 hours postpartum following a vaginal birth. The nurse should recognize that this client is at risk for which of the following postpartum complications?

A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client's last menstrual period began on October 17. What is the client's EDB? (State the date in MMDD. For example, October 17 is 1017)

A nurse is preparing to administer betamethasone 12mg IM to a client at 32 weeks gestation at risk for preterm delivery. Betamethasone is available as 6mg/ml. How many ml will the nurse prepare for injection? (Use a leading zero, if it applies. Do not use a trailing zero)

A 38-year-old multigravida returns to the clinic for a routine prenatal visit at 36 weeks gestation. Assessment findings include: blood pressure 140/90 mm Hg; pulse, 80 beats/min; respiratory rate, 16 breaths/min. The nurse suspects preeclampsia. What additional finding would the nurse assess for?

A nurse is caring for a client with a new diagnosis of a vaginal fistula. The client states, "I don't understand how I got this.”. Which of the following is a potential cause of a vaginal fistula?

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