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?

Decrease the risk of respiratory distress syndrome

Increase the production of surfactant

Reduce the incidence of intraventricular hemorrhage

All of the above

Answer and Explanation

The Correct Answer is D

Corticosteroids have multiple effects on the fetus, including:

• Decreasing the risk of respiratory distress syndrome (RDS) by increasing the production of surfactant, a substance that helps the lungs expand and prevents them from collapsing.

• Reducing the incidence of intraventricular hemorrhage (IVH), a type of bleeding in the brain that can cause brain damage or death.

• Reducing the risk of necrotizing enterocolitis (NEC), a serious intestinal infection that can cause tissue death and perforation.

Normal ranges for gestational age are 37 to 42 weeks.

Normal ranges for fetal weight are 2.5 to 4.5 kg.

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

Normal ranges for amniotic fluid index are 5 to 25 cm.

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Correct Answer is D

Explanation

This value indicates a mature lecithin/sphingomyelin (L/S) ratio in the amniotic fluid, which reflects the fetal lung maturity and the low risk of respiratory distress syndrome (RDS) after birth.The L/S ratio is a test that measures the amount of lecithin and sphingomyelin, two types of phospholipids that are important for the formation of surfactant, a substance that prevents the lungs from collapsing.Lecithin increases and sphingomyelin stays constant as the fetus matures, so a higher L/S ratio indicates more surfactant and more lung development.A ratio of greater than 2:1 or 2.5:1 is 98% predictive of fetal lung maturity in most assays.

A. Temperature of 37.2°C (99°F) B. Fetal heart rate of 156/min C. White blood cell count of 15,000/mm3 D. Uterine tenderness E. Clear amniotic fluid.

Correct Answer is ["A","D"]

Explanation

A temperature of 37.2°C (99°F) and uterine tenderness are signs of infection, which is a serious complication of PPROM.The normal temperature range during pregnancy is 36.4°C to 37.6°C (97.6°F to 99.6°F) orally.Uterine tenderness can indicate chorioamnionitis, which is an inflammation of the fetal membranes due to a bacterial infection.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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.).

Correct Answer is ["A","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 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 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 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 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 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 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 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 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?