A nurse is caring for a client who has PPROM at 26 weeks of gestation and is on bed rest.

The nurse should instruct the client to report which of the following symptoms immediately?

Contractions

Bleeding

Fever

All of the above

Answer and Explanation

The Correct Answer is D

The nurse should instruct the client to report any symptoms of contractions, bleeding, or fever immediately, as they may indicate complications of PPROM such as preterm labor, placental abruption, or chorioamnionitis.

PPROM is the rupture of membranes before 37 weeks of gestation.

It occurs in 3% of pregnancies and is the leading cause of preterm delivery. It can lead to serious complications for both the mother and the fetus. PPROM at 26 weeks of gestation is considered extreme PPROM and has a high risk of neonatal morbidity and mortality. The management of PPROM depends on the gestational age, maternal and fetal condition, and availability of neonatal care. The client with PPROM at 26 weeks of gestation should be on bed rest and receive antibiotics, corticosteroids, and magnesium sulfate to prolong latency, reduce neonatal complications, and prevent cerebral palsy.

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Correct Answer is B

Explanation

Nifedipine is a calcium channel blocker that lowers blood pressure by relaxing the blood vessels.It can cause dizziness and orthostatic hypotension (a drop in blood pressure when standing up), so the client should avoid getting up suddenly from a lying or sitting position.

Choice A is wrong because grapefruit juice can increase the level of nifedipine in the blood and cause side effects such as headache, flushing, and swelling.

The client should avoid grapefruit and grapefruit juice while taking nifedipine.

Choice C is wrong because nifedipine does not affect the heart rate directly.

The client does not need to check the pulse before taking nifedipine, but should monitor the blood pressure regularly.

Choice D is wrong because nifedipine is prescribed to prevent pre-term labor by relaxing the uterine muscles.

The client should not stop taking nifedipine if contractions occur, but should contact the health care provider for further instructions.Stopping nifedipine suddenly can cause a rebound increase in blood pressure and chest pain.

A. “I should drink plenty of fluids to stay hydrated.” B. “I should avoid sexual intercourse until my membranes are intact.” C. “I should monitor my temperature every 4 hours.” D. “I should use a tampon if I have any bleeding.”

Correct Answer is D

Explanation

The client should not use a tampon if they have any bleeding because it can increase the risk of infection.

A tampon can also interfere with the assessment of the amount and color of the bleeding.

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A nurse is caring for a client who has PPROM at 26 weeks of gestation and is on bed rest. The nurse should instruct the client to report which of the following symptoms immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a client who had pre-term labor and was prescribed oral nifedipine. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

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?

Correct Answer is D

Explanation

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?

A nurse is teaching a pregnant woman who is at risk for pre-term labor. Which of the following activities should the nurse instruct the woman to avoid?

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 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.)

A nurse is caring for a client with PPROM who is experiencing uterine contractions and signs of chorioamnionitis. The nurse anticipates that the health care provider will order which of the following interventions?

A nurse is caring for a client who has PPROM at 26 weeks of gestation and is on bed rest. The nurse should instruct the client to report which of the following symptoms immediately?

A nurse is caring for a client with PROM who is receiving magnesium sulfate as a tocolytic agent. Which of the following assessments should the nurse perform to monitor for magnesium toxicity?

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 has PPROM at 26 weeks of gestation and is on bed rest.

The nurse should instruct the client to report which of the following symptoms immediately?