A perinatal nurse has orders to administer betamethasone (Celestone) to the following women in preterm labor. For which patient should the nurse question this order?

A.
Emergency cesarean section
B.
Fetal cardiac abnormalities
C.
Maternal diabetes
D.
Severe preeclampsia/eclampsia


ANS: D
Betamethasone is contraindicated in women in whom there is a medical indication for childbirth (e.g., severe preeclampsia/eclampsia, cord prolapse, chorioamnionitis, abruptio placentae) and in women with systemic fungal infection.

Nursing

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The mother of a 5-year-old girl tells the nurse that she has noticed her daughter "scratching at her bottom a lot the last few days." During the assessment, the nurse finds redness and raised skin in the anal area. This finding most likely indicates:

a. Pinworms. b. Chickenpox. c. Constipation. d. Bacterial infection.

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What is the function of epithelial membranes?

a. Secretes mucus, lines ends of bones, and lines bursae b. Lines ends of bones, secretes synovial fluid, and lines internal surfaces of organs c. Covers the wall of lower digestive tract, secretes mucus, and lines lungs, peritoneum, and pericardium d. Lines lungs, peritoneum, and pericardium, and secretes synovial fluid

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Which medication to maintain abstinence would most likely be prescribed for patients with either alcoholism or opioid addiction?

a. Bromocriptine (Parlodel) b. Methadone (Dolophine) c. Disulfiram (Antabuse) d. Naltrexone (ReVia)

Nursing

The GI tract is regulated by local reflexes known as the:

1. parasympathetic nervous system. 2. sympathetic nervous system. 3. enteric nervous system. 4. central nervous system.

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