A nurse is reinforcing teaching with a client who is pregnant and whose routine diagnostic testing reveals a negative rubella titer.
Which of the following statements should the nurse tell the client?

Choice A rationale:

Placing the newborn in a prone position is not recommended during phototherapy. The infant should be placed in a supine position to maximize the surface area exposed to the phototherapy lights.

Choice B rationale:

Applying lotion to the newborn's skin can interfere with phototherapy. It's important to keep the baby's skin free from lotions or ointments to ensure the effectiveness of the treatment.

Choice C rationale:

Monitoring the newborn's blood glucose level hourly is not a standard practice during phototherapy. The primary concern during phototherapy is monitoring the infant's bilirubin levels and ensuring proper eye protection.

Choice D rationale:

Monitoring the baby's temperature while on phototherapy is essential. Phototherapy can lead to heat loss, so maintaining the baby's temperature within the normal range is crucial to prevent complications. This choice is the correct answer.

A nurse is assisting with the admission of a client who is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasone. Which of the following statements should the nurse make? The correct answer is Choice A: "The purpose of this medication is to boost fetal lung maturity.”.

Choice A rationale:

Betamethasone is a corticosteroid given to pregnant women at risk of preterm delivery to accelerate fetal lung maturation. It promotes the production of surfactant in the fetal lungs, which is essential for preventing respiratory distress syndrome in preterm infants. This statement provides accurate information about the medication's purpose.

Choice B rationale:

Stating that the medication is for stopping preterm labor contractions is incorrect. Betamethasone is not a tocolytic agent used to halt contractions. It is solely administered to enhance fetal lung maturity and has no direct effect on uterine contractions.

Choice C rationale:

Indicating that the medication's purpose is to increase the fetal heart rate is inaccurate. Betamethasone does not affect fetal heart rate. Its primary role is to enhance the development of the fetal lungs to improve the newborn's respiratory function.

Choice D rationale:

Mentioning that the medication is to halt cervical dilation is not correct. Betamethasone is not intended to stop cervical dilation or prevent preterm labor. Its primary function is to prepare the fetal lungs for better functioning after birth.