A nurse is providing care for a patient who is 28 weeks pregnant and has received betamethasone.
The nurse recognizes that the use of betamethasone affects which of the following?
Weakened uterine contractions
Maternal blood glucose of 63 mg/dL
Decreased fetal heart rate
Enhanced production of fetal lung surfactant
The Correct Answer is D
Choice A rationale
Betamethasone, a corticosteroid, is not known to weaken uterine contractions. It is often administered to pregnant women at risk of preterm delivery to enhance fetal lung maturation and reduce complications associated with prematurity.
Choice B rationale
Betamethasone can potentially increase blood glucose levels, not decrease them. This is particularly relevant in women with gestational diabetes, as corticosteroids can exacerbate hyperglycemia.
Choice C rationale
Betamethasone does not typically decrease the fetal heart rate. Instead, it is used to help mature the lungs of the fetus.
Choice D rationale
Betamethasone is administered to pregnant women at risk of preterm delivery to enhance the production of surfactant in the fetal lungs. Surfactant is a substance that prevents the small air sacs in the lungs from collapsing, thereby aiding in the baby’s ability to breathe after birth.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Cheyne-Stokes breathing, characterized by a cycle of increasing and decreasing respiratory rate and depth, is not a typical symptom of diabetic ketoacidosis (DKA). DKA is more commonly associated with Kussmaul breathing, which is rapid, deep, and labored.
Choice B rationale
An acetone odor to the breath is a classic symptom of DKA. This is due to the body breaking down fat for energy, which produces ketones. These ketones can cause the breath to smell fruity or like nail polish remover.
Choice C rationale
A blood glucose level below 40 mg/dL is not a symptom of DKA. In fact, DKA is characterized by high blood glucose levels, typically above 250 mg/dL111213.
Choice D rationale
Malignant hypertension is not a typical symptom of DKA. While DKA can cause dehydration and electrolyte imbalances that may affect blood pressure, it does not typically cause malignant hypertension.
Correct Answer is A
Explanation
Choice A rationale
Decreased muscle mass is a common age-related musculoskeletal change. As people age, they tend to lose muscle mass due to changes in muscle fiber and decreased physical activity. This can lead to weakness and decreased mobility.
Choice B rationale
Thickened vertebral disks are not typically an age-related change. Instead, the disks often become thinner and less flexible with age, which can lead to conditions like degenerative disk disease.
Choice C rationale
Increased force of isometric contraction is not an age-related musculoskeletal change. In fact, both isometric and isotonic muscle strength tend to decrease with age.
Choice D rationale
Reduced chest width is not typically an age-related musculoskeletal change. However, changes in posture and spinal curvature can affect the shape and function of the chest.
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