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    Pediatrics Proctored examQuestion 47
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    Pediatrics Proctored exam

    A nurse is caring for a client who is in premature labor and is receiving terbutaline. The nurse should monitor the client for which of the following adverse effects that should be reported to the provider?

    Explanation & Rationale

    A. Nervousness occurs due to terbutaline’s stimulation of beta-adrenergic receptors, which can increase sympathetic activity. This is generally mild and expected, requiring only reassurance and monitoring. B. Tremors are a common side effect from beta-2 adrenergic stimulation of skeletal muscles. They are usually transient and non-dangerous, not requiring immediate intervention. C. Dyspnea may indicate pulmonary edema, a potentially life-threatening complication associated with terbutaline therapy, especially if used for prolonged periods or in clients with cardiac or renal compromise. Prompt recognition and immediate reporting to the provider is essential to prevent serious maternal and fetal complications. D. Headaches may occur due to vasodilation and increased cardiac output, but they are typically mild and self-limiting, not a sign of severe adverse effect.

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