RN Nursing · High-Risk Pregnancy — Preterm Labor · Practice question
A nurse is caring for a client admitted at 29 weeks gestation for preterm labor who is regularly contracting. Which of the following orders can the nurse expect for this client? (Select all that apply.)
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Corticosteroid injection
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Tocolytic medication
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Nonstress test
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Oxytocin infusion
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Cervical cerclage placement
Answer & explanation
Correct: Corticosteroid injection · Tocolytic medication · Nonstress test
For preterm labor at 29 weeks, expected interventions include: corticosteroids (betamethasone) to enhance fetal lung maturity between 24-34 weeks; tocolytics (e.g., nifedipine, magnesium sulfate) to suppress contractions and allow time for steroid effect; and nonstress testing to evaluate fetal well-being. Oxytocin is contraindicated as it augments contractions and is used to induce labor, not stop preterm labor. Cervical cerclage is placed earlier in pregnancy (typically 12-14 weeks) for cervical insufficiency, not after preterm labor begins at 29 weeks. (AWHONN, 2022).
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