Author Question: The nurse is providing instructions to the parents of a child with scoliosis regarding the use of a ... (Read 13 times)

ENagel · **on:** Jul 22, 2018

The nurse is providing instructions to the parents of a child with scoliosis regarding the use of a brace. Which of the following statements, if made by one of the parents, indicates a need for further instructions?

1. I cannot place powder under the brace.
2. I need to place a soft shirt on my child under the brace.
3. I need to encourage my child to perform prescribed exercises.
4. I need to be sure to apply lotion on the skin under the brace.

Question 2

A client experiencing preterm labor at the twenty-ninth week of gestation has been admitted to the hospital. The client has a prescription to receive betamethasone (Celestone).

The nurse understands that the medication will do which of the following? 1. Prevent spontaneous delivery.
2. Stop the uterine contractions.
3. Promote maturation of the fetal lungs.
4. Accelerate the growth rate of the fetus.

AngeliqueG · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4

Rationale: The use of lotions or powders should be avoided with a brace because they can be-come sticky or cake under the brace, causing irritation. I cannot place powder under the brace. I need to place a soft shirt on my child under the brace. and I need to encourage my child to perform prescribed exercises. are appropriate interventions for the use of a brace on a child.

Answer to Question 2

3

Rationale: Betamethasone (Celestone) is classified as an anti-inflammatory and corticosteroid. It increases the surfactant level and lung maturity in the fetus, which reduces the incidence of respiratory distress syndrome. Delivery must be delayed for at least 48 hours after administration of betamethasone to allow time for the lungs of the fetus to mature.