1. 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?

Answer 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?

Answer Tachycardia and a feeling of nervousness

Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates beta-adrenergic

receptors 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?

Answer 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?

Answer 30 weeks gestation

at 30 weeks gestation is closest (of the options) to the time parents would be ready for

such 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.