A woman in preterm labor at 32 weeks of gestation receives Dexamethasone intramularly. The purpose of this pharmacologic treatment is to:

Select one:

Stimulate fetal surfactant production

Maintain adequate maternal respiratory effort and ventilation during magnesium sulfate therapy

Suppress uterine contractions

Reduce maternal and fetal tachycardia

Answer and Explanation

The Correct Answer is A

a. Dexamethasone is a corticosteroid that is given to women at risk of preterm delivery to stimulate fetal lung maturation and surfactant production.
b. Dexamethasone is not used for this purpose.

c. Dexamethasone is not used to suppress uterine contractions.

d. Dexamethasone is not used to reduce maternal and fetal tachycardia.

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Correct Answer is C

Explanation

a. The client should also be placed in Trendelenburg or knee-chest position to reduce cord compression.
b. This is not the first action to take when the umbilical cord is prolapsed.
c. This is a medical emergency that requires immediate intervention to prevent fetal hypoxia and death. The nurse should insert a gloved hand into the vagina and apply upward pressure on the presenting part to lift it off the cord until delivery.
d. This may be necessary if the cord compression cannot be relieved, but the first priority is to relieve the cord compression.

A. Perform a venipuncture for hemoglobin and hematocrit levels B. Place clean disposable pads to collect any drainage C. Monitor uterine contractions D. Asses fetal heart rate (FHR) and maternal vital signs

Correct Answer is D

Explanation

a. While this is important, it is not the priority when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy.
b. This is important for managing the bleeding but is not the priority.
c. Monitoring uterine contractions is important, but assessing fetal heart rate (FHR) and maternal vital signs is the priority to determine the status of the fetus and mother.
d. Bleeding in late pregnancy can indicate placental abruption, which is a life- threatening condition for both the mother and the fetus. The nurse should monitor the FHR and maternal vital signs to assess the severity of the bleeding and the fetal and maternal well-being.

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A woman in preterm labor at 32 weeks of gestation receives Dexamethasone intramularly. The purpose of this pharmacologic treatment is to: Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse perform first?

Correct Answer is C

Explanation

The priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy ( 37 weeks) is to: Select one:

Correct Answer is D

Explanation

A nurse is planning to teach couples about the physiology of the sex act. What correct information will the nurse provide? Select one:

A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure. Which of the following is an appropriate response by the nurse?

The nurse providing care for the laboring woman recognizes that late fetal heart rate (FHR) decelerations are caused by: Select one:

A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client's umbilicus, at the midline. The nurse should suspect that the fetus is in which of the following presentation?

Which fetal heart rate (FHR) finding would concern the nurse during labor? Select one:

Which nursing assessment indicates that a woman who is in second-stage labor is almost ready to give birth Select one:

When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm, movable fetal part in the pelvis inlet and a long, smooth, and soft surface in the mother's left side close to the midline. What is the likely position of the fetus? Select one:

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A woman in preterm labor at 32 weeks of gestation receives Dexamethasone intramularly. The purpose of this pharmacologic treatment is to:

Select one: