A woman in preterm labor at 32 weeks of gestation receives Dexamethasone intramularly. The purpose of this pharmacologic treatment is to:
Select one:
Stimulate fetal surfactant production
Maintain adequate maternal respiratory effort and ventilation during magnesium sulfate therapy
Suppress uterine contractions
Reduce maternal and fetal tachycardia
The Correct Answer is A
a. Dexamethasone is a corticosteroid that is given to women at risk of preterm delivery to stimulate fetal lung maturation and surfactant production.
b. Dexamethasone is not used for this purpose.
c. Dexamethasone is not used to suppress uterine contractions.
d. Dexamethasone is not used to reduce maternal and fetal tachycardia.
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Related Questions
Correct Answer is D
Explanation
a. The fetus establishing iron stores is not a cause of physiologic anemia during pregnancy.
b. Inadequate intake of iron can contribute to iron-deficiency anemia during pregnancy but is not the cause of physiologic anemia.
c. Decreased production of erythrocytes (RBC) is not a cause of physiologic anemia during pregnancy.
d. Dilution of hemoglobin concentration due to increased plasma volume during pregnancy is a cause of physiologic anemia.
Correct Answer is C
Explanation
a. This may be done if the fetal heart rate (FHR) tracing is not clear, but it is not the first priority in this situation.
b. Early decelerations can indicate fetal head compression and is a normal finding hence there is no need of notifying the healthcare provider.
c. One of the FHR patterns that may be observed is early decelerations, which are symmetrical decreases in FHR that coincide with uterine contractions. Early decelerations are usually benign and reflect fetal head compression during contractions. The nurse's first priority in this case is to document as a normal finding and continue to monitor the FHR and uterine activity.
d. This may help relieve pressure on the fetal head and improve FHR, but it is not the first priority in this situation.
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