Nurse's Role in Managing Preterm Labor
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Questions and Answers

What is the purpose of administering betamethasone to a pregnant patient experiencing preterm labor?

  • It helps the fetus develop surfactant for lung maturity. (correct)
  • It prevents cervical dilation.
  • It is used to stop preterm labor contractions.
  • It increases the amount of amniotic fluid.

    • Why did the doctor avoid performing a vaginal exam on a patient with complete placenta previa?

  • This could initiate preterm labor.
  • This could result in severe bleeding and cause fetal distress. (correct)
  • There is an increased risk of introducing infection.
  • There is an increased risk of rupture of the membranes.

    • What is the best nursing action to support a family experiencing intrauterine fetal demise?

  • Inform the parents that they need to decide on a name for the birth and death certificates.
  • Recommend that the parents send the baby to the morgue until the mother is stable.
  • Encourage the mother and father hold the infant in their arms. (correct)
  • Encourage the family to focus their attention on their living children.

    • What is the priority focus of care for a newborn with macrosomia and a mother with diabetes mellitus?

    <p>Hypoglycemia</p> Signup and view all the answers

    In a client at 38 weeks of gestation with severe preeclampsia, which finding is expected?

    <p>Presence of variable decelerations in the fetal heart rate tracing</p> Signup and view all the answers

    What set of orders would you expect a physician to place in the chart of a pregnant patient with signs of preeclampsia during triage?

    <p>Insert an indwelling foley catheter, Perform an NST q shift, Place fetus on continuous fetal monitoring</p> Signup and view all the answers

    With a 1 hr glucose screening result of 151 at 25 weeks gestation, what orders should the nurse anticipate?

    <p>A consultation with the diabetic educator</p> Signup and view all the answers

    What maneuver should be performed when a neonate shows the Turtle sign during delivery related to shoulder dystocia?

    <p>Suprapubic pressure</p> Signup and view all the answers

    What statement best describes the status of a laboring patient at risk for brachial plexus injury during delivery due to gestational diabetes?

    <p>'The neonate is at increased risk for brachial plexus injury.'</p> Signup and view all the answers

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