A 38-week primigravida who works as a secretary and sits at a computer for 8 hours each day
tells the nurse that her feet have begun to swell. Which instruction would bemost effective in
preventing pooling of blood in
...
A 38-week primigravida who works as a secretary and sits at a computer for 8 hours each day
tells the nurse that her feet have begun to swell. Which instruction would bemost effective in
preventing pooling of blood in the lower extremities?
Move about every hour
Pooling of blood in the lower extremities results from the enlarged uterus exerting pressure on
the pelvic veins. Moving about every hour will straighten out the pelvicveins and increase
venous return.
2. A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestationin
preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously to
stop her labor contractions. The nurse plans to monitor for which primary side effect of
terbutaline sulfate?
Tachycardia and a feeling of nervousness
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates beta-adrenergicreceptors
in the uterine muscle to stop contractions. The beta-adrenergic agonist properties of the drug may
cause tachycardia, increased cardiac output, restlessness, headache, and a feeling of
"nervousness".
3. When do the anterior and posterior fontanels close?
anterior fontanel closes at 12 to 18 months and the posterior by the end of the secondmonth.
4. When assessing a client who is at 12-weeks gestation, the nurse recommends that sheand her
husband consider attending childbirth preparation classes. When is the best time for the couple
to attend these classes?
30 weeks gestation
at 30 weeks gestation is closest (of the options) to the time parents would be ready forsuch
classes. Learning is facilitated by an interested pupil! The couple is most interested in
childbirth toward the end of the pregnancy when they are psychologicallyready for the
termination of the pregnancy, and the birth of their child is an immediate concern.
5. The nurse should encourage the laboring client to begin pushing when...the
cervix is completely dilated.
Pushing begins with the second stage of labor, i.e., when the cervix is completely dilated at 10
cm (C). If pushin
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