A nurse is assisting with providing care for a client who is in preterm labor at 32 weeks of gestation. Which of the following medications should the nurse anticipate the provider will prescribe to help with lung maturity?
Azithromycin.
Indomethacin.
Magnesium sulfate.
Betamethasone.
The Correct Answer is D
Choice A rationale
Azithromycin is an antibiotic used to treat infections and is not indicated for promoting lung maturity in preterm infants.
Choice B rationale
Indomethacin is a tocolytic agent used to delay preterm labor but does not promote lung maturity in the fetus.
Choice C rationale
Magnesium sulfate is used for neuroprotection and to prevent seizures in preeclampsia, but it does not enhance lung maturity.
Choice D rationale
Betamethasone is a corticosteroid that accelerates fetal lung development and surfactant production, promoting lung maturity in preterm infants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Waiting for the next contraction is inappropriate in shoulder dystocia, where immediate action is required to prevent fetal hypoxia. Delaying intervention can lead to serious complications for the newborn.
Choice B rationale
The McRoberts maneuver, involving hyperflexion of the mother's legs, widens the pelvis, facilitating shoulder delivery in cases of shoulder dystocia. This technique reduces shoulder impaction effectively.
Choice C rationale
Applying fundal pressure is contraindicated in shoulder dystocia as it may worsen the impaction by compressing the fetal shoulders against the maternal pelvis, increasing the risk of injury.
Choice D rationale
Vacuum extraction is not recommended for shoulder dystocia management. This obstetric emergency requires specific maneuvers, like the McRoberts maneuver, to relieve the impacted shoulder.
Correct Answer is B
Explanation
Choice A rationale
Biologically, women are more susceptible to sexually transmitted infections (STIs) due to anatomical differences, such as a larger mucosal surface area, making this statement incorrect.
Choice B rationale
Many STIs, such as chlamydia and gonorrhea, can be asymptomatic. This means a person can have an STI without showing signs or symptoms, making routine screening important.
Choice C rationale
Not all STIs are curable. While bacterial STIs like syphilis and gonorrhea can be treated with antibiotics, viral STIs like herpes and HIV can only be managed, not cured.
Choice D rationale
Condoms significantly reduce the risk of acquiring STIs but do not eliminate it entirely. They protect against fluid transmission but not necessarily from skin-to-skin contact infections like HPV.
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