A dose of dexamethasone 12 mg was administered to a client in ...

[BRWH]

A dose of dexamethasone 12 mg was administered to a client in preterm labor at 8:30 AM on March 12. The nurse knows that the next dose must be scheduled for:
 
  a. 2:30 PM on March 12.
  b. 8:30 PM on March 12.
  c. 8:30 AM on March 13.
  d. 2:30 PM on March 13.

Question 2

Which finding would indicate an adverse response to terbutaline (Brethine)?
 
  a. Fetal heart rate (FHR) of 134 bpm
  b. Heart rate of 122 bpm
  c. Two episodes of diarrhea
  d. Fasting blood glucose level of 100 mg/dL

[aburgess]

Answer to Question 1

ANS: C
The current recommendation for betamethasone for threatened preterm birth is two doses of 12 mg 24 hours apart; 2:30 PM on March 12, 8:30 PM on March 12, and 2:30 PM on March 13 do not fall within this recommendation.

Answer to Question 2

ANS: B
Terbutaline (Brethine) stimulates beta-adrenergic receptors of the sympathetic system. This action results primarily in bronchodilation, inhibition of uterine muscle activity, increased pulse rate, and widening of pulse pressure. An FHR of 134 bpm and fasting blood glucose level of 100 mg/dL are normal findings, and diarrhea is not a side effect associated with this medication.

[BRWH]

Thank you

[aburgess]

Happy to help you