A 23-year-old woman with type 1 diabetes and hypothyroidism arrives at the hospital with a preterm, premature rupture of membranes at 30 weeks' gestation. Prenatal vitamins and insulin are among her prescriptions. The vital signs are normal, and the examination reveals a clear vaginal discharge. The cervix of the woman is closed, and she is not having uterine contractions. The following are the laboratory results: Which of the following medications has the greatest positive impact on fetal survival?

Question

A 23-year-old woman with type 1 diabetes and hypothyroidism arrives at the hospital with a preterm, premature rupture of membranes at 30 weeks' gestation. Prenatal vitamins and insulin are among her prescriptions. The vital signs are normal, and the examination reveals a clear vaginal discharge. The cervix of the woman is closed, and she is not having uterine contractions. The following are the laboratory results:  Which of the following medications has the greatest positive impact on fetal survival?

Quizplus · Accepted Answer

Eductional Objective: By boosting surfactant formation, both maternal and fetal cortisol contribute to speed fetal lung development. To avoid newborn respiratory distress syndrome, pregnant women at risk of preterm birth are given betamethasone or dexamethasone.

A 23-Year-Old Woman with Type 1 Diabetes and Hypothyroidism Arrives