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 D

Explanation

a. This is an appropriate order for a client with severe preeclampsia to monitor fetal well-being.
b. This is an appropriate order for a client with severe preeclampsia to monitor fluid status.
c. This is an appropriate order for a client with severe preeclampsia to monitor for signs of worsening preeclampsia.
d. This order may not be appropriate for a client with severe preeclampsia who may be at risk for falls or other complications. The nurse should clarify this order with the provider.

A. ROA B. RSA C. LOA D. LSP

Correct Answer is C

Explanation

a. ROA means right occiput anterior, which would imply that the fetal back is on the mother's right side.
b. RSA means right sacrum anterior, which would imply that the fetal buttocks are in the pelvis inlet and the fetal head is in the fundus.
c. LOA, which means left occiput anterior means that the fetus is in a longitudinal lie, with its head as the presenting part, facing the right posterior quadrant of the mother's pelvis, and its back on the mother's left anterior side. This is one of the most common and favorable fetal positions for delivery.
d. LSP means left sacrum posterior, which would imply that the fetal buttocks are on the mother's left side and slightly rotated toward the back (posterior).

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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 admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders. Which of the following orders requires clarification?

Correct Answer is D

Explanation

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:

Correct Answer is C

Explanation

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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: