Which is (are) the priority nursing assessment(s) for the client having tocolytic therapy with terbutaline (Brethine)?
a. Intake and output
b. Maternal blood glucose level
c. Internal temperature and odor of amniotic fluid
d. Fetal heart rate, maternal pulse, and blood pressure
ANS: D
All assessments are important, but those most relevant to the medication include the fetal heart rate and maternal pulse, which tend to increase, and the maternal blood pressure, which tends to exhibit a wide pulse pressure. Intake and output and glucose are not important assessments to monitor for side effects of terbutaline. Internal temperature and odor of amniotic fluid are important if the membranes have ruptured, but these are not relevant to the medication.
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