A nurse is conducting an educational class for expectant couples. ...

[WhattoUnderstand]

A nurse is conducting an educational class for expectant couples. What information about preterm birth does the nurse include in the discussion? (Select all that apply.)
 
  A.
  A diagnosis of preterm labor requires cervical changes.
  B.
  African Americans have the lowest rate of preterm birth of all ethnic groups.
  C.
  The vast majority of infants born at 29 weeks' gestation survive.
  D.
  Today, 1 in 25 babies are born prematurely in America.
  E.
  Worldwide, preterm birth is the leading cause of neonatal morbidity and mortality.

Question 2

A nurse is caring for a woman on a continuous IV of magnesium sulfate. Which actions are appropriate for patient safety? (Select all that apply.)
 
  A.
  Administer the bolus from the main bag, then change to the maintenance rate.
  B.
  Double-check each new bag and dose/rate change with another nurse.
  C.
  Ensure that a supply of romazicon (Flumazenil) is available in the patient's room.
  D.
  Perform handoff report at the bedside, verifying the dose and orders by both nurses.
  E.
  Place color-coded tags on each IV line, bag, and pump to label them clearly.

[otokexnaru]

Answer to Question 1

ANS: A, C, E
Although many pregnant women experience preterm contractions, only those with cervical changes are diagnosed with preterm labor. More than 90 of infants born at 28-29 weeks' gestation survive today. Worldwide, premature birth is the leading cause of infant morbidity and mortality. According to the March of Dimes (2012), the rate of preterm birth is highest for African American infants (18.4 ). In the United States, more than 1 in 8 babies are born too soon.

Answer to Question 2

ANS: B, D, E
Magnesium sulfate is a high-risk, high-alert drug and the nurse must be cautious about administering this drug safely. Some appropriate actions include double-checking any rate or dose changes with a second nurse, performing the handoff report at the bedside so that both nurses can verify the orders and compare them to the IV bag and pump rate, and color-coding IV lines, bags, and pumps for easy identification. The nurse should ensure that a supply of the antidote (calcium gluconate 10) is available. However, romazicon is the antidote for benzodiazepine overdose. The nurse should use a small-volume IV piggyback for the bolus dose instead of using the main bag to give the bolus to the patient, and then change the infusion rate to the maintenance setting.

[WhattoUnderstand]

Correct answers!

[otokexnaru]

Great! Please up vote