Author Question: A woman who is in her third trimester and is at risk for preterm birth calls the clinic to get the ... (Read 17 times)

Collmarie · **on:** Jun 28, 2018

A woman who is in her third trimester and is at risk for preterm birth calls the clinic to get the results of her fetal fibronectin test (fFN). The nurse sees the result is negative. Which advice to the patient is most appropriate?

A.
Come to the perinatal clinic for a screening ultrasound.
B.
Continue the current management plan as directed.
C.
Go to the hospital immediately for imminent delivery.
D.
Plan to continue taking betamethasone (Celestone) for 1 week.

Question 2

A nurse wants to conduct a community education session for women at high risk of preterm birth. Which teaching site would best meet this objective?

A.
After services at a predominantly African American church
B.
At the local Asian and African markets during a weekday
C.
In the lobby of several OB-GYN clinics in the suburbs
D.
Near the food court at the local shopping mall

mceravolo · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
A negative fFN test indicates that the chance of a woman giving birth in the next week is approximately 1, so she should continue her management plan already in place. There is no need for a screening ultrasound or hospitalization. Betamethasone is a corticosteroid shown to improve outcomes in premature birth. Because this woman is at low risk of delivery within the next week, betamethasone is not indicated.

Answer to Question 2

ANS: A
The March of Dimes reports that the ethnic group with the highest rate of preterm births is African American women, at 18.4. Although teaching all women about preterm births is an important goal, to reach the group with the highest risk, the nurse should plan to teach at a predominantly African American church over the other sites.