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P.T. is a married 30-year-old gravida 4, para 1-2-0-3 at 28 weeks' gestation. She arrives in the labor and delivery unit reporting lower back pain and frequency of urination. She states that she feels occasional uterine cramping and does not believe that her membranes have ruptured.

P.T.'s history reveals that she had 1 preterm delivery 4 years ago at 31 weeks gestation. The newborn girl was in the neonatal intensive care unit (NICU) for 3 weeks and discharged without sequelae. The second preterm newborn, a boy, was delivered 2 years ago at 35 weeks gestation and spent 4 days in the hospital before discharge. She has no other risk factors for preterm labor. Vital signs are normal. Her vaginal examination findings indicate her cervix to be long, closed, and thick with membranes intact. Abdominal examination revealed that the abdomen was non-tender, with fundal height at 29 cm, and the fetus was in a vertex presentation.

While waiting for lab results, you consider that if P.T. is actually experiencing preterm labor, she would receive antenatal glucocorticoids. How long do these drugs take to become effective?

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Benefits can be noted as soon as 24hours but it is most effective within 48 hours

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