A nurse is caring for a client who has been admitted to the antepartum unit. Exhibits For each potential provider's prescription, click to specify if the potential prescription is anticipated or unanticipated for the client.

Provider Prescriptions Anticipated Unanticipated Administer betamethasone ✅ Administer oxytocin ✅ Administer terbutaline ✅ Place client in supine position ✅ Maintain bed rest with bathroom privileges ✅ Limit fluid intake to 1000 mL/day ✅ Rationale: Anticipated: Administer betamethasone: The client is 33 weeks gestation with signs of preterm labor (back pain, contractions, cervical dilation). Betamethasone is given to enhance fetal lung maturity and reduce complications if preterm birth occurs. Administer terbutaline: Terbutaline is a tocolytic (uterine relaxant) used to delay preterm labor and allow time for betamethasone to take effect. Since the client is not yet in active labor, terbutaline may be used to temporarily suppress contractions. Maintain bed rest with bathroom privileges: Activity restrictions are recommended to reduce uterine stimulation and preterm labor progression. However, strict bed rest is not typically recommended due to risks (e.g., venous thromboembolism). Unanticipated: Administer oxytocin: Oxytocin stimulates labor contractions, which is contraindicated since the goal is to delay preterm birth. Instead, tocolytics (e.g., terbutaline) should be used to suppress contractions. Place client in supine position: The supine position can cause supine hypotensive syndrome by compressing the vena cava, reducing blood flow to the fetus. The left lateral position is preferred to optimize placental perfusion. Limit fluid intake to 1000 mL/day: Hydration is important for preventing contractions, as dehydration can trigger uterine irritability. Unless there is a specific medical reason (e.g., preeclampsia, heart failure), fluid restriction is unnecessary.