A nurse is caring for a client who has PPROM at 34 weeks of gestation.
Which of the following interventions should the nurse implement? (Select all that apply.)
Monitor the fetal heart rate continuously
Administer corticosteroids as prescribed
Perform a vaginal exam every shift
Encourage oral fluid intake
Teach the client signs of infection.
Correct Answer : A,B
Continuous fetal heart rate monitoring is indicated for clients who have PPROM to detect signs of fetal distress or infection.
corticosteroids are recommended for clients who have PPROM between 24 and 34 weeks of gestation to enhance fetal lung maturity and reduce the risk of respiratory distress syndrome and other neonatal complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
C-reactive protein (CRP) is a marker of inflammation and infection in the body.The normal range of CRP is less than 10 mg/L.A high level of CRP can be caused by bacterial or viral infections, autoimmune disorders, or tissue injury.
Correct Answer is A
Explanation
This is a sign of magnesium toxicity, which can occur when a client is receiving magnesium sulfate infusion for fetal neuroprotection.
Magnesium sulfate can depress the central nervous system and respiratory system, leading to respiratory depression or arrest.The nurse should report this finding to the provider immediately and stop the infusion.
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