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Diagnosis although the clients amniotic fluid is

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diagnosis. Although the client’s amniotic fluid is leaking this may cease with bed rest and othertreatments for preterm labor. Risk for infection may be a priority later in the client’s care. No evidence issuggested to support a diagnosis disturbed body image.46.The nurse is preparing to administer terbutaline to a multigravid client in preterm labor. Beforeadministering this drug intravenously, the nurse should assess which of the following?
a.Hematocritb.Weight gainc.Urinary outputd.Heart rateANSWER: DRATIONALE: Tachycardia is a common adverse effect of terbutaline therapy. If the client’s heart rate is130 bpm or faster the nurse should contact the physician before administering the medication. After thedrug has been administered, the client should also be carefully monitored for dyspnea or othersymptoms of pulmonary edema. Terbutaline has no effect on the client’s hemoglobin or hematocritlevels, or on weight. Drug can cause nausea. Terbutaline may result in perspiration but there are noknown effects on urinary ouput.47.In which of the following maternal locations would the nurse place the ultrasound transducer ofthe external electronic fetal heart rate monitor if the fetus at 34 weeks gestation is in leftoccipitoanterior position?a.Near the symphysis pubisb.Two inches above the umbilicusc.Below the umbilicus on the left sided.At the level of umbilicusANSWER: CRATIONALE: As the uterus contracts the abdominal wall rises and when external monitoring is usedpresses against the transducer. This movement is transmitted into an electrical current which isrecorded. With the fetus in the LOA position the cardiotransducer should be placed below the umbiluson the side where the fetal back is located and uterine displacement during contractions is greatest. Ifthe fetal back is near the symphysis pubis the fetus is presenting as transverse lie. If the fetus is in abreech position, the fetal back may be at or above the umbilicus48.The physician orders betamethasone for a 34-year-old multigravid at 32 weeks gestation who isexperiencing preterm labor. The client has experienced one infant death due to preterm birth at28 weeks gestation. The nurse explains that this drug is given for which of the following reasons?a.To enhance fetal lung maturityb.To encounter the effects of tocolytic therapyc.To treat chorioamnionitisd.To decrease neonatal production of surfactantANSWER: ARATIONALE: Betamethasone therapy is indicated when the fetal lungs are immature. The fetus must bebetween 28 and 34 weeks gestation and delivery must be delayed for 24 to 48 hours for the drug toachieve a therapeutic effect. Antibiotics would be used to treat chorioamnionitis. Bethamethasone is notan antagonist for tocolytic therapy. It increases not decreases the production of neonatal surfactant.

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