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During an assessment of a neonate born at 33 weeks' gestation, a nurse finds and reports a heart murmur. The neonate is diagnosed with patent ductus arteriosus, for which the neonate received indomethacin. An expected outcome after the administration of indomethacin to a neonate with patent ductus arteriosus is:
- A. Closure of a patent ductus arteriosus.
- B. Decreased bleeding time.
- C. Increased gastrointestinal function.
- D. Increased renal output.
Correct Answer: A
Rationale: Indomethacin promotes closure of the patent ductus arteriosus by inhibiting prostaglandin synthesis.
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A nurse is teaching a client about the use of the vaginal contraceptive ring. Which of the following instructions should the nurse include?
- A. Insert a new ring daily.
- B. Leave the ring in place for 3 weeks, then remove for 1 week.
- C. Apply the ring to the vaginal wall.
- D. Replace the ring every 6 months.
Correct Answer: B
Rationale: The vaginal contraceptive ring is left in place for 3 weeks, then removed for 1 week to allow a withdrawal bleed. It is not inserted daily, applied to the vaginal wall (it sits in the vagina), or replaced every 6 months (it's monthly).
A multigravid client is admitted to the hospital with a diagnosis of ectopic pregnancy. The nurse anticipates that, because the client's fallopian tube has not yet ruptured, which of the following may be ordered?
- A. Progestin contraceptives(Hylutin).
- B. Medroxyprogesterone(Depo-Provera).
- C. Methotrexate.
- D. Dyphylline(Dilor).
Correct Answer: C
Rationale: Methotrexate is used to treat unruptured ectopic pregnancies.
When teaching a primigravid client with diabetes about common causes of hyperglycemia during pregnancy, which of the following would the nurse include?
- A. Fetal macrosomia.
- B. Obesity before conception.
- C. Maternal infection.
- D. Pregnancy-induced hypertension.
Correct Answer: C
Rationale: Infection can cause hyperglycemia.
When caring for a multigravid client admitted to the hospital with vaginal bleeding at 38 weeks' gestation, which of the following would the nurse anticipate administering intravenously if the client develops disseminated intravascular coagulation(DIC)?
- A. Ringer's lactate solution.
- B. Fresh frozen platelets.
- C. 5% dextrose solution.
- D. Warfarin sodium(Coumadin).
Correct Answer: B
Rationale: Fresh frozen platelets are used to manage bleeding in DIC.
A nurse is discussing the contraceptive implant with a client. Which of the following client statements indicates understanding?
- A. The implant is effective for up to 3 years.
- B. The implant requires daily monitoring.
- C. The implant protects against STIs.
- D. The implant is taken orally.
Correct Answer: A
Rationale: The contraceptive implant is effective for up to 3 years, providing long-term contraception. It does not require daily monitoring, protect against STIs, or involve oral administration.