A nurse is caring for a 37-year-old female client in the labor and delivery unit in early labor with contractions and reports feeling fetal movement.
The nurse should anticipate a provider's prescription for ___ due to the client’s ___.
- A. Continuous fetal monitoring , term gestation with regular contractions
- B. regular exercise,fetal positioning
Correct Answer: A
Rationale: Continuous fetal monitoring ensures observation of fetal heart rate and labor progress in a term client with regular contractions.
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A nurse is caring for a client who is pregnant and has a vaginal culture that is positive for chlamydia.
Which of the following medications should the nurse plan to administer?
- A. Acyclovir.
- B. Metronidazole.
- C. Tetracycline.
- D. Amoxicillin.
Correct Answer: D
Rationale: Amoxicillin is a safe, effective antibiotic for treating chlamydia in pregnancy, avoiding fetal harm from alternatives like tetracycline.
A nurse is reinforcing teaching with a client who is pregnant and reports frequent heartburn.
Which of the following recommendations should the nurse include in the teaching?
- A. Take sips of milk between meals.
- B. Eat three large meals per day.
- C. Drink a cup of black coffee before breakfast.
- D. Lie in a left side-lying position for 30 minutes after meals.
Correct Answer: A
Rationale: Sips of milk neutralize stomach acid, providing heartburn relief, a practical solution for pregnant clients.
A nurse is reinforcing teaching with a client about various contraceptive methods.
Which of the following statements should the nurse include in the teaching?
- A. You will need to receive a medroxyprogesterone acetate injection once per month.
- B. Combined estrogen-progestin contraceptive pills cause longer periods.
- C. You will need to have your diaphragm replaced every 4 years.
- D. Oral contraceptives decrease the risk for endometrial cancer.
Correct Answer: D
Rationale: Oral contraceptives decrease the risk for endometrial cancer by preventing thickening of the uterine lining, offering a protective effect with prolonged use.
A nurse is assisting with the care of a client who is in labor and has received nalbuphine hydrochloride.
Which of the following manifestations should the nurse identify as an adverse effect of this medication?
- A. Fever.
- B. Diarrhea.
- C. Sedation.
- D. Diuresis.
Correct Answer: C
Rationale: Sedation is a known adverse effect of nalbuphine hydrochloride, an opioid analgesic that depresses the central nervous system, causing drowsiness.
A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth.
Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?
- A. Have the client ambulate as often as possible.
- B. Apply warm, moist packs to the client's lower legs.
- C. Apply elastic stockings before the client gets out of bed.
- D. Administer NSAIDs every 4 to 6 hours.
Correct Answer: A
Rationale: Encouraging ambulation stimulates circulation, preventing blood clots and reducing thrombophlebitis risk post-cesarean.
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