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

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.

A. Fetal tachycardia B. Maternal leukocytosis C. Increased vaginal discharge D. All of the above

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.

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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 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:

Correct Answer is B

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?

Correct Answer is D

Explanation

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?

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 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 providing discharge instructions to a client who experienced PROM at 20 weeks of gestation and is on home bed rest. Which of the following instructions should the nurse include?

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 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 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 is at 26 weeks of gestation and has a diagnosis of PPROM. Which of the following findings should the nurse report to the provider? (Select all that apply.).

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?