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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.
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