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.)

Betamethasone

Magnesium sulfate

Ampicillin

Oxytocin

Indomethacin

Answer and Explanation

Correct Answer : A,B,C

Betamethasone, magnesium sulfate and ampicillin are medications that can be given to a client who has PPROM.

• Betamethasone is a corticosteroid that can help the baby’s lungs mature faster and reduce the risk of respiratory distress syndrome. It is usually given between 24 and 34 weeks of gestation.

• Magnesium sulfate is a tocolytic that can prevent preterm labor and reduce the risk of intraventricular hemorrhage and cerebral palsy in the baby. It is usually given for 24 to 48 hours after PPROM.

• Ampicillin is an antibiotic that can prevent or treat infection in the amniotic fluid, which is a common complication of PPROM. It can also prolong the latency period (the time between PPROM and delivery) and improve neonatal outcomes.

Normal ranges for gestational age are:

• 37 to 42 weeks for term pregnancy

• 34 to 36 weeks for late preterm pregnancy

• 32 to 33 weeks for moderate preterm pregnancy

• 28 to 31 weeks for very preterm pregnancy

• Less than 28 weeks for extremely preterm pregnancy

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Correct Answer is A

Explanation

Drinking at least 2 L of fluids daily can help prevent dehydration and infection, which are possible complications of PROM (premature rupture of membranes).

Fluid intake also helps maintain amniotic fluid volume and fetal well-being.

A. Avoid sexual intercourse until delivery B. Report any vaginal bleeding to the provider C. Drink at least 3 L of water per day D. All of the above.

Correct Answer is D

Explanation

The nurse should include all of these instructions for a client who has PPROM at 30 weeks of gestation and is on home bed rest.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

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?

Correct Answer is D

Explanation

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 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 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:

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 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 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 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.)