A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor.

The client has a new prescription for betamethasone and asks the nurse about the purpose of this medication. The nurse should provide which of the following explanations?

"It increases the fetal heart rate."

"It is used to stop preterm labor contractions."

"It promotes fetal lung maturity."

"It halts cervical dilation."

Answer and Explanation

The Correct Answer is C

Betamethasone is a corticosteroid used in the prepartum period to promote fetal lung maturity. This reduces the risk of neonatal respiratory distress in babies likely to be delivered before term A, B, D- betamethasone has no effect on preterm labor contractions, increase fetal heart rate, or halt cervical dilation.

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Correct Answer is A

Explanation

Elevated blood glucose levels in mothers with type 2 diabetes leads to increased levels of insulin in the blood. Hyperinsulinemia inhibits fetal lung maturation. This leads to the development of neonatal respiratory distress syndrome at birth.

A. Assess maternal blood glucose. B. Prepare for an emergency cesarean birth. C. Place the client in Trendelenburg position. D. Discontinue the medication infusion.

Correct Answer is D

Explanation

Rationale

The client's respiratory rate of 10/min and absent deep-tendon reflexes are signs of magnesium sulfate toxicity, which can lead to respiratory depression and neuromuscular blockade. The nurse should stop the infusion immediately.

A Monitoring blood glucose is important, but not a priority.

B. Magnesium sulphate toxicity is not an indication for emergency delivery.

C. Placing the client in Trendelenburg position is not appropriate in this situation. trendelenburg position could worsen respiratory depression and compromise the client's airway.

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A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. The client has a new prescription for betamethasone and asks the nurse about the purpose of this medication. The nurse should provide which of the following explanations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome. The nurse should be aware that the most likely cause of the respiratory distress is which of the following?

Correct Answer is A

Explanation

A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 10/min and deep-tendon reflexes are absent. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor.

The client has a new prescription for betamethasone and asks the nurse about the purpose of this medication. The nurse should provide which of the following explanations?