A nurse is admitting a client at 33 weeks gestation who experienced PPROM 4 hours ago.
The client is asking when her next vaginal exam will be since her first exam revealed she is 2 cm dilated.
Which of the following reasons does the nurse explain for not performing another vaginal exam?
Increases labor progress.
Increases pain.
Increases bleeding.
Increases risk for infection.
The Correct Answer is D
Choice A rationale
Performing another vaginal exam does not directly influence labor progress. Labor can progress naturally without repeated exams, which can introduce unnecessary risk.
Choice B rationale
While vaginal exams can be uncomfortable, pain is not the primary reason to avoid multiple exams, especially when managing potential complications.
Choice C rationale
Vaginal exams might lead to minor bleeding due to irritation, but the risk of bleeding is not a primary concern in this context.
Choice D rationale
The most significant reason to avoid frequent vaginal exams after PPROM is the increased risk of infection. Each exam provides a potential pathway for bacteria to ascend, leading to complications like chorioamnionitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Aminoinfusion is a procedure where fluid is infused into the amniotic sac. It is used to treat certain complications during labor but is not related to treating an incompetent cervix.
Choice B rationale
Hysterectomy is a surgical procedure to remove the uterus and is not a treatment for an incompetent cervix. It is typically performed for conditions such as cancer, severe bleeding, or other significant uterine issues.
Choice C rationale
Cerclage is the correct term for the surgical procedure used to treat an incompetent cervix. It involves stitching the cervix closed to prevent premature dilation, which can lead to miscarriage or preterm birth.
Choice D rationale
Beta-adrenergic agonist therapy is used to delay preterm labor by relaxing the uterus but does not address the structural issue of an incompetent cervix. It is a medication-based approach rather than a surgical one. .
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale
Vaginal spotting can be an early sign of preterm labor as it may indicate changes in the cervix.
Choice B rationale
Regular contractions occurring every 10 minutes or less suggest the onset of labor.
Choice C rationale
Weight gain is not a sign of preterm labor and is common in normal pregnancy progression.
Choice D rationale
Lower back pain or pelvic pressure can indicate preterm labor as these symptoms reflect changes in the lower uterus and cervix.
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