MATERNITY CASE 5 FATIME SANOGO
DOCUMENTATION FINAL PAPER 2026
COMPLETE QUESTIONS SOLUTIONS GRADED
A+
◉ A 26-year-old gravida 2, para 1, client is admitted to the hospital
at 28 weeks of gestation in preterm labor. She is given three doses of
terbutaline sulfate (Brethine), 0.25 mg subcutaneously, to stop her
labor contractions. What are the primary side effects of terbutaline
sulfate?
A.Drowsiness and paroxysmal bradycardia
B.Depressed reflexes and increased respirations
C.Tachycardia and a feeling of nervousness
D.A flushed warm feeling and dry mouth. Answer: C.Tachycardia
and a feeling of nervousness
Rationale: 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. Option A is not a side effect.
Options B and D are side effects of magnesium sulfate.
◉ A mother who is breastfeeding her baby receives instructions
from the nurse. Which instruction is most effective in preventing
nipple soreness?
A.Wear a cotton bra with nonbinding support.
B.Increase nursing time gradually over several days.
C.Ensure that the baby is positioned correctly for latching on.
D.Manually express a small amount of milk before nursing.. Answer:
C.Ensure that the baby is positioned correctly for latching on.
Rationale: The most common cause of nipple soreness is incorrect
positioning of the infant on the breast for latching on. The baby's
body is in alignment with the ears, shoulders, and hips in a straight
line, with the nose, cheeks, and chin touching the breast. Option A
helps prevent chafing, and nonbinding support aids in prevention of
discomfort from the stretching of the Cooper ligament. Option B is
important but is not necessary for all women. Option D helps soften
,an engorged breast and encourages correct infant latching on but is
not the best answer.
◉ A new mother asks the nurse, "How do I know that my daughter is
getting enough breast milk?" Which explanation is appropriate?
A."Weigh the baby daily, and if she is gaining weight, she is getting
enough to eat."
B."Your milk is sufficient if the baby is voiding pale, straw-colored
urine six to ten times a day."
C."Offer the baby extra bottled milk after her feeding and see if she
still seems hungry."
D."If you're concerned, you might consider bottle feeding so that you
can monitor intake.". Answer: B."Your milk is sufficient if the baby is
voiding pale, straw-colored urine six to ten times a day."
Rationale: The urine will be dilute (straw-colored) and frequent (>6
to 10 times/day), if the infant is adequately hydrated. Although a
weight gain of 30 g/day is indicative of adequate nutrition, most
home scales do not measure this accurately, and the suggestion will
likely make the mother anxious. Option C causes nipple confusion
, and diminishes the mother's milk production. Option D does not
address the client's question.
◉ The client comes to the hospital assuming she is in labor. Which
assessment findings by the nurse would indicate that the client is in
true labor? (Select all that apply.)
A.Pain in the lower back that radiates to abdomen
B.Contractions decreased in frequency with ambulation
C.Progressive cervical dilation and effacement
D.Discomfort localized in the abdomen
E.Regular and rhythmic painful contractions. Answer: A.Pain in the
lower back that radiates to abdomen
C.Progressive cervical dilation and effacement
E.Regular and rhythmic painful contractions
Rationale: These are all signs of true labor. Options B and D are signs
of false labor.
DOCUMENTATION FINAL PAPER 2026
COMPLETE QUESTIONS SOLUTIONS GRADED
A+
◉ A 26-year-old gravida 2, para 1, client is admitted to the hospital
at 28 weeks of gestation in preterm labor. She is given three doses of
terbutaline sulfate (Brethine), 0.25 mg subcutaneously, to stop her
labor contractions. What are the primary side effects of terbutaline
sulfate?
A.Drowsiness and paroxysmal bradycardia
B.Depressed reflexes and increased respirations
C.Tachycardia and a feeling of nervousness
D.A flushed warm feeling and dry mouth. Answer: C.Tachycardia
and a feeling of nervousness
Rationale: 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. Option A is not a side effect.
Options B and D are side effects of magnesium sulfate.
◉ A mother who is breastfeeding her baby receives instructions
from the nurse. Which instruction is most effective in preventing
nipple soreness?
A.Wear a cotton bra with nonbinding support.
B.Increase nursing time gradually over several days.
C.Ensure that the baby is positioned correctly for latching on.
D.Manually express a small amount of milk before nursing.. Answer:
C.Ensure that the baby is positioned correctly for latching on.
Rationale: The most common cause of nipple soreness is incorrect
positioning of the infant on the breast for latching on. The baby's
body is in alignment with the ears, shoulders, and hips in a straight
line, with the nose, cheeks, and chin touching the breast. Option A
helps prevent chafing, and nonbinding support aids in prevention of
discomfort from the stretching of the Cooper ligament. Option B is
important but is not necessary for all women. Option D helps soften
,an engorged breast and encourages correct infant latching on but is
not the best answer.
◉ A new mother asks the nurse, "How do I know that my daughter is
getting enough breast milk?" Which explanation is appropriate?
A."Weigh the baby daily, and if she is gaining weight, she is getting
enough to eat."
B."Your milk is sufficient if the baby is voiding pale, straw-colored
urine six to ten times a day."
C."Offer the baby extra bottled milk after her feeding and see if she
still seems hungry."
D."If you're concerned, you might consider bottle feeding so that you
can monitor intake.". Answer: B."Your milk is sufficient if the baby is
voiding pale, straw-colored urine six to ten times a day."
Rationale: The urine will be dilute (straw-colored) and frequent (>6
to 10 times/day), if the infant is adequately hydrated. Although a
weight gain of 30 g/day is indicative of adequate nutrition, most
home scales do not measure this accurately, and the suggestion will
likely make the mother anxious. Option C causes nipple confusion
, and diminishes the mother's milk production. Option D does not
address the client's question.
◉ The client comes to the hospital assuming she is in labor. Which
assessment findings by the nurse would indicate that the client is in
true labor? (Select all that apply.)
A.Pain in the lower back that radiates to abdomen
B.Contractions decreased in frequency with ambulation
C.Progressive cervical dilation and effacement
D.Discomfort localized in the abdomen
E.Regular and rhythmic painful contractions. Answer: A.Pain in the
lower back that radiates to abdomen
C.Progressive cervical dilation and effacement
E.Regular and rhythmic painful contractions
Rationale: These are all signs of true labor. Options B and D are signs
of false labor.
