A nurse is caring for a client who has PPROM at 30 weeks of gestation and is receiving corticosteroids to enhance fetal lung maturity.

The nurse should explain to the client that the corticosteroids will have which of the following effects on the fetus?

Decrease the risk of respiratory distress syndrome

Increase the production of surfactant

Reduce the incidence of intraventricular hemorrhage

All of the above

Answer and Explanation

The Correct Answer is D

Corticosteroids have multiple effects on the fetus, including:

• Decreasing the risk of respiratory distress syndrome (RDS) by increasing the production of surfactant, a substance that helps the lungs expand and prevents them from collapsing.

• Reducing the incidence of intraventricular hemorrhage (IVH), a type of bleeding in the brain that can cause brain damage or death.

• Reducing the risk of necrotizing enterocolitis (NEC), a serious intestinal infection that can cause tissue death and perforation.

Normal ranges for gestational age are 37 to 42 weeks.

Normal ranges for fetal weight are 2.5 to 4.5 kg.

Normal ranges for fetal heart rate are 110 to 160 beats per minute.

Normal ranges for amniotic fluid index are 5 to 25 cm.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

chorioamnionitis is a serious infection of the placental tissues that can cause fetal and maternal morbidity and mortality.The best management is to deliver the baby as soon as possible to prevent further complications.

Normal ranges for maternal blood C-reactive protein (CRP), procalcitonin and interleukin 6 (IL6) are:

• CRP: <10 mg/L

• Procalcitonin: <0.5 ng/mL

• IL6: <5 pg/mL

These markers may be elevated in chorioamnionitis, but they have low sensitivity and specificity for diagnosis.

A. Decreased fetal movements B. Increased amniotic fluid index C. Decreased maternal pulse rate D. Increased maternal leukocyte count

Correct Answer is B

Explanation

Increased amniotic fluid index indicates a positive outcome of antibiotic therapy for a client who has PPROM at 28 weeks of gestation.Antibiotics are used to prevent or treat infection and prolong pregnancy in women with PPROM.Infection can cause oligohydramnios (low amniotic fluid) which can lead to fetal complications such as cord compression, pulmonary hypoplasia and limb deformities.

Therefore, an increased amniotic fluid index suggests that the infection has been reduced or resolved and the risk of preterm birth has been lowered.

Normal ranges for amniotic fluid index are 5 to 25 cm.Normal ranges for maternal pulse rate are 60 to 100 beats per minute.Normal ranges for maternal leukocyte count are 4.5 to 11 x 10^9/L.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who has PPROM at 30 weeks of gestation and is receiving corticosteroids to enhance fetal lung maturity. The nurse should explain to the client that the corticosteroids will have which of the following effects on the fetus?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with PPROM who is experiencing uterine contractions and signs of chorioamnionitis. The nurse anticipates that the health care provider will order which of the following interventions?

Correct Answer is C

Explanation

A nurse is evaluating the effectiveness of antibiotic therapy for a client who has PPROM at 28 weeks of gestation. Which of the following findings indicates a positive outcome?

Correct Answer is B

Explanation

A nurse is caring for a client who has PPROM at 30 weeks of gestation and is receiving corticosteroids to enhance fetal lung maturity. The nurse should explain to the client that the corticosteroids will have which of the following effects on the fetus?

A nurse is providing discharge instructions to a client who has PPROM at 30 weeks of gestation and is on home bed rest. Which of the following instructions should the nurse include?

A nurse is teaching a pregnant woman who is at risk for pre-term labor. Which of the following activities should the nurse instruct the woman to avoid?

A nurse is teaching a client who is at 30 weeks of gestation and has PROM about the signs and symptoms of infection. Which of the following should the nurse include in the teaching? (Select all that apply.)

A nurse is providing discharge instructions to a client who had pre-term labor and was prescribed oral nifedipine. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who has PPROM at 26 weeks of gestation and is on bed rest. The nurse should instruct the client to report which of the following symptoms immediately?

A nurse is preparing to administer betamethasone to a client who has PPROM at 26 weeks of gestation. Which of the following statements by the nurse is appropriate?

A nurse is providing discharge instructions to a client who experienced PROM at 20 weeks of gestation and is on home bed rest. Which of the following instructions should the nurse include?

A nurse is caring for a client who has PPROM at 30 weeks of gestation and is receiving corticosteroids to enhance fetal lung maturity.

The nurse should explain to the client that the corticosteroids will have which of the following effects on the fetus?