Nokea
A multigravid client at 39 weeks' gestation diagnosed with insulin-dependent diabetes is admitted for induction of labor with oxytocin (Pitocin). Which of the following should the nurse include in the teaching plan as a possible disadvantage of this procedure?
- A. Urinary frequency.
- B. Maternal hypoglycemia.
- C. Preterm birth.
- D. Neonatal jaundice.
Correct Answer: B
Rationale: Oxytocin induction in diabetic clients increases metabolic demand, risking maternal hypoglycemia due to insulin use. Urinary frequency is unrelated, preterm birth is not a concern at 39 weeks, and neonatal jaundice is not directly linked.
You may also like to solve these questions
A client asks about the risks of long-term oral contraceptive use. Which of the following would the nurse include?
- A. Increased risk of blood clots.
- B. Permanent weight loss.
- C. Elimination of ovarian cancer risk.
- D. Guaranteed regular menstrual cycles.
Correct Answer: A
Rationale: Long-term use of oral contraceptives may increase the risk of blood clots, especially in at-risk populations. It may reduce ovarian cancer risk, does not cause permanent weight loss, and does not guarantee regular cycles.
A client is considering the fertility awareness method. Which of the following factors should the nurse discuss as affecting its reliability?
- A. The client's age and parity.
- B. The consistency of the client's menstrual cycle.
- C. The client's history of STIs.
- D. The client's use of hormonal contraceptives.
Correct Answer: B
Rationale: The consistency of the client's menstrual cycle significantly affects the reliability of the fertility awareness method, as irregular cycles make ovulation prediction difficult. Age, parity, STIs, and hormonal contraceptives are less directly relevant.
A multiparous client who has a neonate diagnosed with hemolytic disease of the newborn asks the nurse why the neonate has developed this problem. Which of the following responses by the nurse should be most appropriate?
- A. You are Rh-positive and the neonate's father is Rh-negative.'
- B. You and the neonate's father are both Rh-negative.'
- C. You are Rh-negative and the neonate's father is Rh-positive.'
- D. The fetus is Rh-negative and you are Rh-positive.'
Correct Answer: C
Rationale: Hemolytic disease of the newborn occurs when an Rh-negative mother carries an Rh-positive fetus, leading to maternal antibody production against fetal red blood cells.
A primigravid client with severe preeclampsia exhibits hyperactive, very brisk patellar reflexes with two beats of ankle clonus present. The nurse documents the patellar reflexes as which of the following?
- A. 1+.
- B. 2+.
- C. 3+.
- D. 4+.
Correct Answer: C
Rationale: Hyperactive reflexes are documented as 3+.
Prophylactic heparin therapy is ordered to treat thrombophlebitis in a multiparous client who delivered 24 hours ago. After instructing the client about the medication, the nurse determines that the client understands the instructions when she states which of the following as the purpose of the drug?
- A. To thin the blood clots.
- B. To increase the lochial flow.
- C. To increase the perspiration for diuresis.
- D. To prevent further blood clot formation.
Correct Answer: D
Rationale: Heparin prevents further clot formation in thrombophlebitis without dissolving existing clots.