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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 B

Explanation

Choice A rationale

Umbilical cord compression typically results in variable decelerations in the fetal heart rate, not moderate variability or regular accelerations. It can lead to changes in fetal heart rate

patterns, but not regular mild contractions.

Choice B rationale

Dysfunctional labor refers to an abnormal labor pattern, including irregular uterine contractions. The described symptoms fit this condition, as they can cause mild pain and be

managed by ambulation, showers, and rest.

Choice C rationale

Chorioamnionitis is an infection of the fetal membranes and amniotic fluid, leading to fever, uterine tenderness, and foul-smelling amniotic fluid, not mild contractions and moderate

variability in FHR.

Choice D rationale

Iron deficiency anemia in pregnancy can cause fatigue, pallor, and shortness of breath but does not affect uterine contractions or fetal heart rate.

Correct Answer is C

Explanation

Choice A rationale

Clapping hands to assess hearing is not a reliable method and could startle the baby for reasons unrelated to hearing ability.

Choice B rationale

While a newborn might respond to visual stimuli, this is not a definitive method to assess hearing.

Choice C rationale

Routine hearing screenings using objective tests are the best way to determine a newborn's hearing ability, providing accurate and early detection of potential hearing issues.

Choice D rationale

This statement is misleading, as some forms of hearing loss can be inherited. It's important to use accurate methods to assess newborn hearing.

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