A nurse is administering betamethasone to a client who is at risk for pre-term labor at 30 weeks of gestation.

Which of the following outcomes should the nurse monitor for in the newborn?

Increased surfactant production

Decreased risk of infection

Increased blood glucose levels

Decreased risk of bleeding

Answer and Explanation

The Correct Answer is A

Betamethasone is a corticosteroid that is given to pregnant women who are at risk of preterm labor to improve neonatal outcomes. Betamethasone stimulates the production of surfactant, a substance that lubricates the lungs and prevents them from collapsing after birth. This reduces the risk of respiratory distress syndrome, a common complication of preterm birth.

Choice B is wrong because betamethasone does not decrease the risk of infection in the newborn. In fact, it may increase the risk of maternal and neonatal infections by suppressing the immune system.

Choice C is wrong because betamethasone does not increase blood glucose levels in the newborn. However, it may cause transient hyperglycemia in the mother, which should be monitored and treated if necessary.

Choice D is wrong because betamethasone does not decrease the risk of bleeding in the newborn. It may increase the risk of intraventricular hemorrhage, a type of bleeding in the brain, if given before 24 weeks of gestation. Therefore, it should be used with caution in this population and only after a family’s decision regarding resuscitation.

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Correct Answer is C

Explanation

Report any increase in vaginal discharge to the provider.This is because an increase in vaginal discharge can indicate an infection, which can trigger preterm labor or cause complications for the mother and the baby.

Choice A is wrong because sexual intercourse is not contraindicated for women who have preterm labor that was successfully stopped with tocolytic therapy, unless they have other risk factors such as placenta previa or ruptured membranes.

Choice B is wrong because drinking at least 3 L of fluids per day is not necessary for women who have preterm labor that was successfully stopped with tocolytic therapy, unless they have dehydration or oligohydramnios.

Choice D is wrong because pelvic floor exercises are not recommended for women who have preterm labor that was successfully stopped with tocolytic therapy, as they can increase uterine activity and cause contractions.

Tocolytic therapy is the use of drugs to delay delivery for a short time (up to 48 hours) if a woman begins labor too early in her pregnancy.

The purpose of tocolytic therapy is to allow time for the administration of corticosteroids or other medicine.

A. Asthma B. Diabetes mellitus C. Hypertension D. Cardiac disease

Correct Answer is D

Explanation

Nifedipine is a calcium channel blocker that is used to relax uterine contractions and postpone preterm labor.However, it can also lower blood pressure and cause side effects such as headache, dizziness, flushing, and palpitations.Therefore, it should be avoided in clients who have cardiac disease or other conditions that affect the heart function.

Choice A is wrong because asthma is not a contraindication for nifedipine.Nifedipine does not affect the airways or cause bronchospasm.

Choice B is wrong because diabetes mellitus is not a contraindication for nifedipine.Nifedipine does not affect blood glucose levels or insulin secretion.

Choice C is wrong because hypertension is not a contraindication for nifedipine.In fact, nifedipine can be used to treat high blood pressure as well as preterm labor.However, blood pressure should be monitored closely during nifedipine therapy to avoid hypotension.

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A nurse is administering betamethasone to a client who is at risk for pre-term labor at 30 weeks of gestation. Which of the following outcomes should the nurse monitor for in the newborn?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning discharge teaching for a client who is at 25 weeks of gestation and has pre-term labor that was successfully stopped with tocolytic therapy. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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A nurse is administering betamethasone to a client who is at risk for pre-term labor at 30 weeks of gestation.

Which of the following outcomes should the nurse monitor for in the newborn?