A nurse is admitting a patient who is at 30 weeks of gestation and is in preterm labor.The patient has a new prescription for betamethasone and asks the nurse about the purpose of this medication. Which explanation should the nurse provide?
“It increases the fetal heart rate.”.
“It promotes fetal lung maturity.”.
“It is used to stop preterm labor contractions.”.
“It halts cervical dilation.”.
The Correct Answer is B
Choice A rationale
Betamethasone does not typically increase the fetal heart rate14.
Choice B rationale
Betamethasone is often given to pregnant women who are at risk of preterm birth to promote fetal lung maturity. It helps speed up the development of the baby’s lungs and other organs14.
Choice C rationale
Betamethasone is not used to stop preterm labor contractions14.
Choice D rationale
Betamethasone does not halt cervical dilation14.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Intermittent abdominal pain following passage of bloody mucus is more commonly associated with labor or conditions like bloody show but not specifically indicative of placenta previa.
Choice B rationale
Increasing abdominal pain with a non-relaxed uterus could be a sign of conditions such as uterine rupture or contractions, but it is not a typical sign of placenta previa. In placenta previa, the uterus is typically soft and non-tender.
Choice C rationale
Abdominal pain with scant red vaginal bleeding could be indicative of several conditions, including early labor or placental abruption, but it is not a typical sign of placenta previa. Placenta previa is usually characterized by painless bleeding.
Choice D rationale
Painless red vaginal bleeding is a classic sign of placenta previa. This occurs because the placenta, which is implanted low in the uterus, near or over the cervical os, begins to separate as the cervix effaces and dilates, leading to bleeding.
Correct Answer is A
Explanation
Choice A rationale
Assessing the fetal heart rate pattern is the priority nursing action following an amniotomy. This allows the nurse to monitor for signs of fetal distress, which can occur if the umbilical cord becomes compressed or prolapses as a result of the procedure.
Choice B rationale
Observing the color and consistency of the fluid can provide information about the well-being of the fetus, but it is not the priority action following an amniotomy.
Choice C rationale
Assessing the client’s temperature is important to monitor for signs of infection, but it is not the priority action following an amniotomy.
Choice D rationale
Evaluating the client for the presence of chills and increased uterine tenderness using palpation can help identify complications such as infection or uterine rupture, but it is not the priority action following an amniotomy.
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