When a patient in preterm labor is receiving ritodrine in addition to corticosteroids, there is increased risk of:

a. Fetal oliguria
b. Maternal bradycardia
c. Constricted ductus arteriosus
d. Maternal pulmonary edema


ANS: D
Both tocolytics and corticosteroids cause fluid retention that may lead to maternal fluid overload and pulmonary edema.

Nursing

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A nursing instructor wants to determine whether the students understand accountability-based care delivery systems. During the class, the instructor explains that the system emphasizes that accountability is based upon several elements

When questioned about the elements, which response by the students would indicate that further teaching is needed? a. Processes, not outcomes c. Individually defined b. Inherent in the role d. Foundation for evaluation

Nursing

A 38-week newborn is found to be small for gestational age (SGA). Which of the following nursing interventions should be included in the care of this newborn?

A. Monitor for feeding difficulties. B. Assess for facial paralysis. C. Monitor for signs of hyperglycemia. D. Maintain a warm environment.

Nursing

A nurse observes a patient with a history of aggressive behavior toward others pacing in the dayroom while appearing to talk to himself. The nurse will best intervene with this patient therapeutically by:

a. asking him to sit in the dayroom and watch television with the other patients and staff. b. instructing him to go to his room and remain there until he shows that he can be sociable. c. asking him if he would like to walk to his room where he and the nurse can sit together quietly to discuss the cause of his behavior. d. assigning an ancillary staff member the task of walking him around the unit for several minutes and then returning him to his room.

Nursing

One compensatory mechanism that helps maintain oxygen availability to the fetus during maternal exercise is

A. A decrease in maternal hematocrit B. Transient increase in uterine blood flow C. An increase in uterine oxygen uptake

Nursing