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 []

Explanation

Potential Condition:

B. Type 1 diabetes mellitus

The client’s symptoms of fatigue, blurred vision, dizziness, and headache, along with a high blood glucose level and HbA1C, suggest that they are experiencing hyperglycemia, a condition common in individuals with Type 1 diabetes mellitus.

Actions to Take:

B. Teach the client about the signs of hyperglycemia.
D. Assess the client’s feet for sensation.

Teaching the client about the signs of hyperglycemia will help them recognize when their blood sugar is high and take appropriate action. Assessing the client’s feet for sensation is also important as diabetes can lead to peripheral neuropathy, which can result in a loss of sensation in the feet.

Parameters to Monitor:

B. Blood pressure
D. Fingerstick blood glucose

Monitoring the client’s blood pressure is important as hypertension can be a complication of diabetes. Regularly checking the client’s fingerstick blood glucose levels will help ensure that their diabetes is being effectively managed.

A. Ask the partner to talk about his difficulties in caring for the client. B. Recommend that the partner place the client in a long-term care facility. C. Tell the partner to call a family meeting to get help. D. Suggest that the partner see a counselor to help him cope with his exhaustion.

Correct Answer is A

Explanation

Choice A rationale

Asking the partner to talk about his difficulties in caring for the client is the nurse’s priority. This intervention allows the nurse to assess the partner’s emotional state and provide appropriate support and resources.

Choice B rationale

Recommending that the partner place the client in a long-term care facility may not be the best initial intervention. The decision to place a loved one in a long-term care facility is complex and involves many factors. The nurse should first assess the partner’s needs and concerns before making such a recommendation.

Choice C rationale

Telling the partner to call a family meeting to get help may be a helpful suggestion, but it is not the nurse’s priority. The nurse should first assess the partner’s emotional state and needs before suggesting specific interventions.

Choice D rationale

Suggesting that the partner see a counselor to help him cope with his exhaustion may be a helpful intervention, but it is not the nurse’s priority. The nurse should first assess the partner’s emotional state and needs before suggesting specific interventions.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is []

Explanation

Correct Answer is A

Explanation

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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?