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
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The nurse should include all of these instructions for a client who has PPROM at 30 weeks of gestation and is on home bed rest.
Correct Answer is ["A","D"]
Explanation
A temperature of 37.2°C (99°F) and uterine tenderness are signs of infection, which is a serious complication of PPROM.The normal temperature range during pregnancy is 36.4°C to 37.6°C (97.6°F to 99.6°F) orally.Uterine tenderness can indicate chorioamnionitis, which is an inflammation of the fetal membranes due to a bacterial infection.
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