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A preterm labor client at 30 weeks' gestation reported rupture of membranes 4 hours ago.This was confirmed on examination.
The nurse prepares to administer IM dexamethasone.
When the client asks why she is receiving the drug, the nurse replies:

To help stop your labor contractions.

To prevent an infection in your uterus.

To help mature your baby's lungs.

To decrease the pain from the contractions.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Dexamethasone does not directly stop labor contractions; instead, it is used to enhance fetal lung maturity.

Choice B rationale

Dexamethasone is not for infection prevention; antibiotics are used for that purpose in cases of premature rupture of membranes.

Choice C rationale

Dexamethasone is administered to enhance fetal lung maturity, reducing the risk of respiratory distress syndrome in preterm infants.

Choice D rationale

Dexamethasone is not used for pain relief in preterm labor; other medications are prescribed for pain management.

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Correct Answer is D

Explanation

Choice A rationale

Reduction of fever is not a primary effect of carboprost tromethamine. This medication is primarily used to induce uterine contractions to manage postpartum hemorrhage.

Choice B rationale

While maintaining stable blood pressure is important, it is not the specific indicator of carboprost tromethamine's effectiveness. This medication is used to control bleeding.

Choice C rationale

Increased comfort, although significant, is not the direct effect of carboprost tromethamine. The primary aim is to induce uterine contractions to manage hemorrhage.

Choice D rationale

Decreased lochia rubra indicates the reduction of postpartum bleeding, which is the primary purpose of administering carboprost tromethamine. This outcome shows the medication is effective.

A. Swaddle the baby to provide warmth. B. Assess the glucose level of the baby. C. Take the baby to the mother for feeding. D. Administer the routine neonatal medications.

Correct Answer is B

Explanation

Choice A rationale

Swaddling provides warmth but doesn't address jitteriness, which may be due to hypoglycemia.

Choice B rationale

Jitteriness in a newborn can indicate hypoglycemia. Prompt glucose assessment is crucial for early detection and management.

Choice C rationale

Feeding could help with glucose levels, but without knowing the glucose status, it might not be the immediate priority.

Choice D rationale

Routine medications are important but not as urgent as addressing possible hypoglycemia in a jittery baby.

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A preterm labor client at 30 weeks' gestation reported rupture of membranes 4 hours ago.This was confirmed on examination.The nurse prepares to administer IM dexamethasone.When the client asks why she is receiving the drug, the nurse replies:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for the postpartum client.Which assessment finding should prompt the nurse to conclude that the administration of carboprost tromethamine (Hemabate) has been effective?

Correct Answer is D

Explanation

Correct Answer is B

Explanation

A gravid patient in labor suddenly has dyspnea, hypotension, frothy sputum, and loss of consciousness.The nurse knows these are signs and symptoms of which obstetrical emergency?

The nurse educator is preparing a presentation on preterm labor (PTL) and birth (PTB). Which information does the nurse recognize as being inaccurate?

The nurse is assisting the primary care provider (PCP) with the third stage of a vaginal delivery.The patient is multiparous, experienced a precipitous birth, and has a history of hypertension.Which medical prescription does the nurse anticipate for this patient?

During a vaginal delivery, the obstetrician declares that a shoulder dystocia has occurred.Which of the following actions by the nurse is appropriate at this time?

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The nurse is providing care for a patient in the second phase of labor.After more than 4 hours of pushing, the nurse suspects fetal dystocia.Which is the greatest risk related to the nurse's suspected complication?

Included in the definition of tachysystole is:

A client is scheduled for an external version.The nurse would expect to prepare which of the following medications to be administered prior to the procedure?

A preterm labor client at 30 weeks' gestation reported rupture of membranes 4 hours ago.This was confirmed on examination.
The nurse prepares to administer IM dexamethasone.
When the client asks why she is receiving the drug, the nurse replies: