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?
“This medication will help prevent preterm labor.”
“This medication will help reduce the risk of bleeding.”
“This medication will help mature your baby’s lungs.”
“This medication will help lower your blood pressure.”
The Correct Answer is C
Betamethasone is a corticosteroid that is given to women who have PPROM (preterm prelabor rupture of membranes) at 24 to 36 weeks of gestation to reduce the risk of neonatal respiratory distress syndrome and other complications. It is given as two doses of 12 mg intramuscularly, 24 hours apart.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is ["B","C","D"]
Explanation
These are signs and symptoms of infection that can occur after PROM (prelabor rupture of membranes), which is the leakage of amniotic fluid before labor begins.Infection can be very dangerous for both the mother and the baby.
Normal ranges for gestational age are 37 to 42 weeks for term pregnancy and less than 37 weeks for preterm pregnancy.Normal ranges for fetal heart rate are 110 to 160 beats per minute.
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