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A nurse is caring for a client who was admitted in preterm labor at 33 weeks gestation.
The provider has ordered betamethasone 12 mg IM every 24 hours.

A.

Before administering the medication, what should the nurse include in client teaching?

B.

This medication is used to increase fetal surfactant production.

C.

This medication increases the fetal heart rate.

D.

This medication is used to increase amniotic fluid levels.

E.

This medication is used to stop preterm labor contractions.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Betamethasone is a corticosteroid that accelerates fetal lung maturity by increasing the production of surfactant, which reduces respiratory distress syndrome in preterm infants.

 

Choice B rationale

While betamethasone can cause transient increases in fetal heart rate, its primary purpose is not to increase fetal heart rate. Its role is in enhancing lung maturity.

 

Choice C rationale

Betamethasone does not directly increase amniotic fluid levels. Its main function is in the maturation of fetal lungs.

 

Choice D rationale

Betamethasone is not used to stop preterm labor contractions. It is used to accelerate fetal lung development in preterm labor cases.


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Correct Answer is A

Explanation

Choice A rationale

Betamethasone is a corticosteroid that accelerates fetal lung maturity by increasing the production of surfactant, which reduces respiratory distress syndrome in preterm infants.

Choice B rationale

While betamethasone can cause transient increases in fetal heart rate, its primary purpose is not to increase fetal heart rate. Its role is in enhancing lung maturity.

Choice C rationale

Betamethasone does not directly increase amniotic fluid levels. Its main function is in the maturation of fetal lungs.

Choice D rationale

Betamethasone is not used to stop preterm labor contractions. It is used to accelerate fetal lung development in preterm labor cases.

Correct Answer is C

Explanation

Choice A rationale

Male condoms are effective in preventing pregnancy and sexually transmitted infections, but their reliability can be compromised by improper use or breakage.

Choice B rationale

Vaginal rings provide hormonal contraception and are effective, but they may be less reliable compared to implants due to potential for incorrect use.

Choice C rationale

Hormonal implants are highly reliable because they provide continuous contraception over an extended period (up to 3-5 years) with minimal user intervention.

Choice D rationale

Oral contraceptives are effective when taken correctly, but their reliability can be reduced by missed doses or incorrect use.

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