A nurse is assessing a client with PROM who is at 37 weeks of gestation.

The nurse notes that the client has a foul-smelling vaginal discharge and a temperature of 38.2°C (100.8°F).

The nurse recognizes these findings as indicative of:

Placental abruption

Chorioamnionitis

Prolapsed cord

Fetal distress

Answer and Explanation

The Correct Answer is B

Chorioamnionitis is an infection of the membranes containing the fetus and the amniotic fluid. It can occur when the membranes rupture before labor, especially if the rupture is prolonged or preterm. Chorioamnionitis can cause fever, foul-smelling vaginal discharge, abdominal pain, and fetal tachycardia.

Normal ranges for temperature are 36.5°C to 37.5°C (97.7°F to 99.5°F) and for fetal heart rate are 110 to 160 beats per minute.

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Correct Answer is D

Explanation

This is because PPROM increases the risk of infection for both the mother and the baby, and infection can cause fetal tachycardia, maternal leukocytosis, and increased vaginal discharge.

Normal ranges for fetal heart rate are 110 to 160 beats per minute.

Normal ranges for maternal white blood cells are 4,500 to 11,000/mm3.

Normal ranges for vaginal discharge vary depending on the stage of pregnancy and other factors.

A. Increased vaginal discharge B. Foul-smelling amniotic fluid C. Abdominal cramping D. Decreased fetal movement E. Headache

Correct Answer is ["B","C","D"]

Explanation

These are signs and symptoms of infection that can occur after PROM (prelabor rupture of membranes), which is the leakage of amniotic fluid before labor begins.Infection can be very dangerous for both the mother and the baby.

Normal ranges for gestational age are 37 to 42 weeks for term pregnancy and less than 37 weeks for preterm pregnancy.Normal ranges for fetal heart rate are 110 to 160 beats per minute.

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A nurse is assessing a client with PROM who is at 37 weeks of gestation. The nurse notes that the client has a foul-smelling vaginal discharge and a temperature of 38.2°C (100.8°F). The nurse recognizes these findings as indicative of:

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has PPROM at 32 weeks of gestation and is receiving antibiotics prophylactically. The nurse should monitor the client for which of the following signs of infection?

Correct Answer is D

Explanation

A nurse is teaching a client who is at 30 weeks of gestation and has PROM about the signs and symptoms of infection. Which of the following should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

A nurse is preparing to administer betamethasone to a client who has PPROM at 26 weeks of gestation. Which of the following statements by the nurse is appropriate?

A nurse is evaluating the effectiveness of antibiotic therapy for a client who has PPROM at 28 weeks of gestation. Which of the following findings indicates a positive outcome?

A nurse is caring for a client who is at 26 weeks of gestation and has PPROM. Which of the following medications should the nurse expect to administer to the client? (Select all that apply.)

A nurse is providing discharge instructions to a client who has PPROM at 30 weeks of gestation and is on home bed rest. Which of the following instructions should the nurse include?

A nurse is reviewing the laboratory results of a client who has PPROM at 30 weeks of gestation. The nurse should expect to see which of the following values for the lecithin/sphingomyelin (L/S) ratio in the amniotic fluid?

A nurse is assessing a client with PROM who is at 37 weeks of gestation. The nurse notes that the client has a foul-smelling vaginal discharge and a temperature of 38.2°C (100.8°F). The nurse recognizes these findings as indicative of:

A nurse is evaluating the understanding of a client who is at 32 weeks of gestation and has PPROM after providing discharge instructions. Which of the following statements by the client indicates a need for further teaching?

A nurse is caring for a client who has PPROM at 30 weeks of gestation and is receiving corticosteroids to enhance fetal lung maturity. The nurse should explain to the client that the corticosteroids will have which of the following effects on the fetus?

A nurse is assessing a client with PROM who is at 37 weeks of gestation.

The nurse notes that the client has a foul-smelling vaginal discharge and a temperature of 38.2°C (100.8°F).

The nurse recognizes these findings as indicative of: