1. The nurse is planning care for a client at 30-weeks gestation who is
experiencing preterm labor.
· Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x 3
· Ampicillin 1 gram IV push q8h.
· Betamethasone (Celestone) 12 mg deep IM
· Butorphanol (Stadol) 1 mg IV push q2h PRN pain
2. A pregnant woman in the first trimester of pregnancy has hemoglobin of 8.6
mg/dl and a hematocrit of 25.1 %. What food should the nurse encourage this
client to include in her diet?
· Carrots
· Chicken
· Yogurt
· Cheese
3. The nurse is preparing to administer methylergonovine maleate (Methergine) to
a postpartum client. Based on what assessment finding should the nurse withhold
the drug?
· Respiratory rate of 22 breaths/min
· A large amount of lochia rubra
· Blood pressure 149/90
· Positive Homan’ssign
4. A client receiving oxytocin (Pitocin) to augment early labor. Which assessment
is most important for the nurse to obtain each time the infusion rate is increased?
· Pain level
· Blood pressure
· Infusion site
· Contraction pattern
5. One day after vaginal delivery of a full term baby, a postpartum client’s white
blood cell count is 15.000/mm. What action should the nurse take first?
· Check the differential, since the WBC is normal for this client
· Assess the client’s temperature, pulse, and respirations q4h
· Assess the client’s perineal area for signs of a perineal hematoma
· Notify the healthcare provider, since this finding is indicative of infection
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