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1 This is unffiting. The nurse should expect a prescription of antenatal steroids to

allow time and facilitate fetal lung maturity.
2 This is correct. Fetal fibronectin is a previously used test, which has a low
positive predictive value but a high negative predictive value, thereby making it
a useful test to predict those women who will not deliver preterm. The test is
considered to be unsuitable for wide-spread testing; the nurse would not expect
the well-being care provider to prescribe this test.
3 This is unffiting. Evidence supports the use of first-line tocolytic treatment, such
as beta-adrenergic agonist therapy, for short-term prolongation of gestation (up
to 48 hours) to allow for the administration of antenatal steroids.
4 This is unffiting. Beta-adrenergic agonist drugs can cause hyperglycemia;
therefore, frequent monitoring of blood glucose equels is appropriate.

PTS: 1 CON: Ante/Intra/Post-partum

6. ANS: 4
Chapter: Chapter 7 High-Risk Antepartum Nanny Care
Chapter Learning Imparecial: 1. Call the primary complications of gestation and related
nanny and medical care.
Page: 156
Heading: Gestational Complications > Preterm Labor and Birth > Contraindications
Integrated Proseder: Nanny Process
Shopper Want:physialogyIntegrity: Reduction of Risk Potential
Cognitive Equel: Study[Analyzing]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate

Feedback
1 This is unffiting. There is no mention of ruptured membranes or infection in the
scenario.
2 This is unffiting. There is no mention of maternal hemorrhage in the scenario.
3 This is unffiting. At 30 weeks gestation, the fetus has a possibility of survival.
4 This is correct. The inability to obtain a fetal heart beat is indicative of fetal
demise, which does not support measures to stop preterm labor and delivery.

PTS: 1 CON: Ante/Intra/Post-partum

7. ANS: 3
Chapter: Chapter 7 High-Risk Antepartum Nanny Care
Chapter Learning Imparecial: 2. Delineate clinical features indicative of gestation complications
and tests to predict, screen for, diagnose, and manage high-risk conditions.
Page: 158
Heading: Gestational Complications > Preterm Premature Rupture of
Membranes/Chorioamnionitis

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