A nurse is caring for a client with PPROM at 32 weeks of gestation.
The client asks the nurse why she needs to take corticosteroids.
The nurse’s best response is:
Corticosteroids can help prevent infection in the uterus and fetus.
Corticosteroids can help reduce bleeding and placental abruption.
Corticosteroids can help enhance fetal lung maturity and reduce neonatal complications.
Corticosteroids can help inhibit uterine contractions and prolong pregnancy.
The Correct Answer is C
corticosteroids can stimulate the production of surfactant, a substance that prevents the collapse of the alveoli in the lungs, and reduce the risk of respiratory distress syndrome, intraventricular hemorrhage, and neonatal death.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The client will need to receive intravenous antibiotics during labor and delivery to prevent neonatal sepsis.Group B streptococcus (GBS) is a type of bacteria that can be passed from a pregnant person to their baby during vaginal delivery and can cause serious infections in newborns.Antibiotics can significantly reduce the risk of the baby getting ill.
Correct Answer is ["A","B","C"]
Explanation
The correct answer is choice A, B and C. These interventions are part of the preoperative care for a client who is undergoing an emergency cesarean birth due to umbilical cord prolapse.Umbilical cord prolapse is a medical emergency that occurs when the umbilical cord slips through the cervix and into the vagina before the baby, causing fetal hypoxia.
Choice D is wrong because performing a leopold maneuver to determine fetal position is not necessary in this situation, as the fetal presentation is already known and the priority is to deliver the baby as soon as possible.
Choice E is wrong because applying an external fetal monitor to assess fetal heart rate is not sufficient in this situation, as the cord compression may cause severe bradycardia or variable decelerations.The nurse should manually lift the presenting part and hold it off the prolapsed cord while preparing for cesarean delivery.
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