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?

Choice A rationale

A moderate amount of swelling is not normal during a testicular self-examination. Any swelling or lumps should be reported to a healthcare provider for further evaluation.

Choice B rationale

The testicles should indeed be examined after a bath or shower. The warmth of the water relaxes the scrotal sac and makes it easier to feel for any abnormalities. This is the correct answer.

Choice C rationale

The testicular self-examination should not be performed twice a week. It is recommended to perform the examination once a month.

Choice D rationale

Abnormalities are not detected by pinching the testicles. Instead, the testicles should be rolled gently between the fingers and thumb to feel for any lumps or bumps.

Choice A rationale

A client diagnosed with preeclampsia reporting epigastric pain and unresolved headache is a serious concern. Epigastric pain could indicate severe liver involvement, and a persistent headache could be a sign of progressing neurological involvement, both of which are severe features of preeclampsia. These symptoms suggest the condition may be worsening to eclampsia, a life-threatening complication characterized by the onset of seizure activity or coma in a woman with preeclampsia. Immediate medical attention is necessary to prevent further complications.

Choice B rationale

A tearful client at 32 weeks of gestation experiencing irregular, frequent contractions could be experiencing preterm labor. However, emotional distress and contractions do not necessarily indicate a medical emergency. It’s important to monitor the situation, but it does not need to be immediately reported to the provider.

Choice C rationale

A client diagnosed with preeclampsia having 2+ proteinuria and 2+ patellar reflexes are expected findings. Proteinuria is a common sign of preeclampsia, and hyperreflexia can occur due to increased neuromuscular irritability. While these should be monitored, they do not need to be immediately reported to the provider.

Choice D rationale

A client at 28 weeks of gestation receiving terbutaline reporting fine tremors is an expected side effect of the medication. Terbutaline, a beta-adrenergic agonist, can cause tremors by stimulating the nervous system. While it may be uncomfortable for the client, it is not a medical emergency.