A nurse is providing care for a patient who is 28 weeks pregnant and has received betamethasone.
The nurse recognizes that the use of betamethasone affects which of the following?

Weakened uterine contractions

Maternal blood glucose of 63 mg/dL

Decreased fetal heart rate

Enhanced production of fetal lung surfactant

Answer and Explanation

The Correct Answer is D

Choice A rationale

Betamethasone, a corticosteroid, is not known to weaken uterine contractions. It is often administered to pregnant women at risk of preterm delivery to enhance fetal lung maturation and reduce complications associated with prematurity.

Choice B rationale

Betamethasone can potentially increase blood glucose levels, not decrease them. This is particularly relevant in women with gestational diabetes, as corticosteroids can exacerbate hyperglycemia.

Choice C rationale

Betamethasone does not typically decrease the fetal heart rate. Instead, it is used to help mature the lungs of the fetus.

Choice D rationale

Betamethasone is administered to pregnant women at risk of preterm delivery to enhance the production of surfactant in the fetal lungs. Surfactant is a substance that prevents the small air sacs in the lungs from collapsing, thereby aiding in the baby’s ability to breathe after birth.

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Correct Answer is B

Explanation

Choice A rationale

While respiratory distress can be a serious condition in infants, it is not the leading cause of death among this age group. Other conditions, such as sudden infant death syndrome and complications from premature birth, are more common causes of death in infants.

Choice B rationale

Sudden Infant Death Syndrome (SIDS) is indeed a leading cause of death among infants. It is a significant health concern and a major cause of post-neonatal death. SIDS is the unexplained death, usually during sleep, of a seemingly healthy baby less than a year old.

Choice C rationale

Congenital anomalies can cause death in infants, but they are not the leading cause. Conditions such as SIDS and complications from premature birth are more common causes of infant death.

Choice D rationale

Low birth weight can contribute to health problems in infants and increase the risk of infant mortality. However, it is not the leading cause of death among infants. Conditions such as SIDS and complications from premature birth are more common causes.

A. Altered mucus membranes B. Fluid volume deficit C. Nutrition D. Skin integrity .

Correct Answer is C

Explanation

Choice A rationale

While altered mucus membranes can occur in patients with Crohn’s disease, it is not typically the primary nursing assessment.

Choice B rationale

Fluid volume deficit can occur in patients with Crohn’s disease due to diarrhea, a common symptom of the disease. However, it is not typically the primary nursing assessment.

Choice C rationale

Nutrition should be prioritized in the nursing assessment for a patient diagnosed with Crohn’s disease. Malnutrition can occur due to decreased appetite, malabsorption of nutrients, and increased nutritional needs due to inflammation.

Choice D rationale

While skin integrity can be a concern in patients with Crohn’s disease, particularly those with fistulas, it is not typically the primary nursing assessment.

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A nurse is providing care for a patient who is 28 weeks pregnant and has received betamethasone.The nurse recognizes that the use of betamethasone affects which of the following?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

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A nurse is providing care for a patient who is 28 weeks pregnant and has received betamethasone.
The nurse recognizes that the use of betamethasone affects which of the following?