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A 26 week G3 P2 has premature rupture of membranes. Which of the following orders would the nurse question?

Temperature q4 hours

Betamethasone 12.5mg q 24 hours × 2.

Apply external fetal monitor to assess contractions and fetal well-being.

Vaginal exam q 2 hours for labor progress.

Answer and Explanation

The Correct Answer is D

A. Regular temperature checks monitor for infection.

B. Betamethasone promotes fetal lung maturity.

C. Fetal monitoring is standard for assessing wellbeing.

D. Frequent vaginal exams increase infection risk and should be minimized

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Correct Answer is C, A, D, B

Explanation

Drying the baby is the most important first step to prevent heat loss and initiate thermoregulation. Suctioning is needed if there are signs of airway obstruction but is secondary to ensuring the baby’s warmth. Applying identification bracelets is necessary to ensure proper identification but is not as critical as ensuring the baby is warm and breathing. Teaching the mother cord care can be done after addressing more immediate concerns such as warmth and identification.

A. “I will get my A1C checked every visit." B. "A fasting glucose done in the first trimester of pregnancy will show if I have gestational diabetes.” C. “All women are tested in the second trimester with a three hour glucose tolerance test to determine if they have gestational diabetes." D. “I will have a one hour glucose test (glucose tolerance test) to screen for gestational diabetes during the second trimester.”

Correct Answer is D

Explanation

A. The A1C is not used for diagnosing gestational diabetes; it measures long-term blood glucose levels.

B. A fasting glucose test in the first trimester is not typically used for diagnosing gestational diabetes.

C. The three-hour glucose tolerance test is used for diagnosing gestational diabetes but not as a routine screening for all women.

D. The standard screening test for gestational diabetes is the one-hour glucose challenge test, typically performed between 24 and 28 weeks of gestation.

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A 26 week G3 P2 has premature rupture of membranes. Which of the following orders would the nurse question?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Place the following actions that should be done for baby girl C immediately after birth from most important to least important. (ORDERED RESPONSE)

Correct Answer is C, A, D, B

Explanation

A patient is being taught about tests for gestational diabetes. Teaching was effective when the patient states the following

Correct Answer is D

Explanation

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