A client at 30 weeks of gestation is experiencing pre-term labor.

Which intervention should the nurse anticipate to suppress uterine contractions?

Administering intravenous fluids

Administering tocolytics

Administering corticosteroids

Administering antibiotics

Answer and Explanation

The Correct Answer is B

Tocolytics are a category of drugs used to delay the labor process. These may be used in situations when a pregnant person begins showing signs of preterm labor —which is any time before 37 weeks of completed pregnancy. Tocolytics may help delay labor by two to seven days.

Some possible explanations for the other choices are:

• Choice A. Administering intravenous fluids.

This is not a correct answer because intravenous fluids are not effective in suppressing uterine contractions. They may be used to correct dehydration or electrolyte imbalance, which can sometimes trigger preterm labor, but they are not a primary intervention for preterm labor.

• Choice C. Administering corticosteroids.

This is not a correct answer because corticosteroids are not tocolytics. They do not stop or slow down uterine contractions, but they help accelerate fetal lung maturity and reduce the risk of neonatal respiratory distress syndrome and other complications of prematurity.

Corticosteroids are often given along with tocolytics, but they have a different function and mechanism of action.

• Choice D. Administering antibiotics.

This is not a correct answer because antibiotics are not tocolytics. They may be used to treat infections that can cause or complicate preterm labor, such as chorioamnionitis or group B streptococcus, but they do not directly affect uterine contractions.

Antibiotics may be given along with tocolytics, but they have a different function.

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Correct Answer is A

Explanation

Betamethasone is a corticosteroid that is given to pregnant women who are at risk of preterm labor to improve neonatal outcomes.Betamethasone stimulates the production of surfactant, a substance that lubricates the lungs and prevents them from collapsing after birth.This reduces the risk of respiratory distress syndrome, a common complication of preterm birth.

Choice B is wrong because betamethasone does not decrease the risk of infection in the newborn.In fact, it may increase the risk of maternal and neonatal infections by suppressing the immune system.

Choice C is wrong because betamethasone does not increase blood glucose levels in the newborn.However, it may cause transient hyperglycemia in the mother, which should be monitored and treated if necessary.

Choice D is wrong because betamethasone does not decrease the risk of bleeding in the newborn.It may increase the risk of intraventricular hemorrhage, a type of bleeding in the brain, if given before 24 weeks of gestation.Therefore, it should be used with caution in this population and only after a family’s decision regarding resuscitation.

A. Encourage the parents to touch and talk to the infant through the incubator ports B. Limit the parents’ visitation time to prevent overstimulation of the infant C. Advise the parents to avoid eye contact with the infant until he is stable D. Restrict the parents from holding or feeding the infant until he is discharged.

Correct Answer is A

Explanation

Encouraging the parents to touch and talk to the infant through the incubator ports can promote bonding between the infant and the parents.Bonding is the intense attachment that develops between parents and their baby, and it is essential for the baby’s social and cognitive development.Touch and communication are some of the ways that babies bond with their parents.

Choice B is wrong because limiting the parents’ visitation time can disrupt the bonding process and make the parents feel less involved in their baby’s care.

Choice C is wrong because eye contact is another way of bonding with babies, and it can help them feel secure and loved.

Choice D is wrong because holding and feeding the infant are also important ways of bonding, and they should not be restricted unless medically necessary.

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A client at 30 weeks of gestation is experiencing pre-term labor. Which intervention should the nurse anticipate to suppress uterine contractions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is administering betamethasone to a client who is at risk for pre-term labor at 30 weeks of gestation. Which of the following outcomes should the nurse monitor for in the newborn?

Correct Answer is A

Explanation

A nurse is planning care for a pre-term infant who is in an incubator. Which of the following interventions should the nurse include to promote bonding between the infant and the parents?

Correct Answer is A

Explanation

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A client in pre-term labor is being discharged from the hospital. What should the nurse include in the client's discharge plan?

A nurse is administering terbutaline to a client who is at 31 weeks of gestation and has pre-term labor. Which of the following findings should the nurse monitor as an adverse effect of this medication?

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A client at 28 weeks of gestation presents with bleeding from the vagina. Which assessment finding should the nurse prioritize?

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A nurse is assessing a pre-term newborn who was born at 28 weeks of gestation. Which of the following findings indicates a possible diagnosis of respiratory distress syndrome (RDS)?

A client in pre-term labor is being discharged from the hospital. What should the nurse include in the client's discharge plan?

A client at 30 weeks of gestation is experiencing pre-term labor.

Which intervention should the nurse anticipate to suppress uterine contractions?