A nurse is providing care for a client who is in preterm labor at 32 weeks of gestation.

Which medication should the nurse expect the provider to prescribe to accelerate fetal lung maturity?

Indomethacin (Indocin)

Nifedipine (Procardia)

Calcium gluconate

Betamethasone (Celestone)

Answer and Explanation

The Correct Answer is D

Choice A rationale
Indomethacin (Indocin) is a nonsteroidal anti-inflammatory drug (NSAID) that reduces fever, pain and inflammation. It is used to treat moderate to severe osteoarthritis, rheumatoid arthritis, gouty arthritis, or ankylosing spondylitis. It is not used to accelerate fetal lung maturity.
Choice B rationale
Nifedipine (Procardia) is a calcium channel blocker used to treat high blood pressure (hypertension) or chest pain (angina). It is not used to accelerate fetal lung maturity.
Choice C rationale
Calcium gluconate is used to prevent or to treat calcium deficiencies. It is not used to accelerate fetal lung maturity.
Choice D rationale
Betamethasone (Celestone) is a corticosteroid that is used to mature the lungs in fetuses at risk for preterm birth.

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Correct Answer is C

Explanation

Choice C rationale
The apex of the heart is the most appropriate site to assess an infant’s heart rate. In infants, the apical pulse provides the most accurate assessment of heart rate. The apical pulse is located at the fifth intercostal space at the midclavicular line.
Choice A rationale
The carotid artery is not typically used to assess an infant’s heart rate. This site is more commonly used in adults and older children.
Choice B rationale
The brachial artery can be used to assess an infant’s heart rate, but it is typically used for blood pressure measurements rather than heart rate assessments.
Choice D rationale
The radial artery is not typically used to assess an infant’s heart rate. This site is more commonly used in adults and older children.

A. Plump face B. Dehydration C. Long nails D. Weak grasp reflex E. Presence of lanugo .

Correct Answer is ["C","D","E"]

Explanation

Choice A rationale
A newborn born at 32 weeks of gestation and weighing 1,100 g is considered preterm and is likely to have a thin, fragile appearance rather than a plump face.
Choice B rationale
Dehydration is not a typical finding in a preterm newborn unless there are underlying health issues or complications.
Choice C rationale
Long nails are a common finding in preterm newborns. This is because nail growth begins in the womb and preterm babies have had less time to wear down their nails through movement.
Choice D rationale
A weak grasp reflex is common in preterm newborns. This is due to their immature nervous system.
Choice E rationale
The presence of lanugo, or fine hair, is common in preterm newborns. Lanugo usually begins to disappear around 32 weeks of gestation, so a baby born at this time may still have a significant amount.

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A nurse is providing care for a client who is in preterm labor at 32 weeks of gestation. Which medication should the nurse expect the provider to prescribe to accelerate fetal lung maturity?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to measure an infant’s vital signs. Which of the following sites should the nurse use to assess the heart rate?

Correct Answer is C

Explanation

A nurse is assisting with the assessment of a newborn who was born at 32 weeks of gestation. The newborn’s birth weight is 1,100 g. What are the expected findings in this newborn? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

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A nurse is providing care for a client who is in preterm labor at 32 weeks of gestation.

Which medication should the nurse expect the provider to prescribe to accelerate fetal lung maturity?