A nurse is caring for a client who is experiencing preterm labor and has a new prescription for terbutaline.Which of the following findings is a contraindication for administration of this medication?
Explanation & Rationale
Choice A rationaleHeart disease is a contraindication for terbutaline due to its potential to cause tachycardia, arrhythmias, or exacerbation of cardiac conditions, leading to cardiovascular compromise in affected clients.Choice B rationaleCervical dilation of 2 cm does not contraindicate terbutaline use. This finding suggests early labor stages, where terbutaline can be administered to delay labor onset effectively.Choice C rationaleGestational age of 34 weeks does not contraindicate terbutaline use. The medication is often used to delay preterm labor until 37 weeks to improve fetal outcomes.Choice D rationalePenicillin allergy is unrelated to terbutaline administration. Terbutaline is a beta-agonist and does not contain beta-lactam structures, eliminating cross-reactivity concerns with penicillin allergies. .