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?
“I should drink plenty of fluids to stay hydrated.”
“I should avoid sexual intercourse until my membranes are intact.”
“I should monitor my temperature every 4 hours.”
“I should use a tampon if I have any bleeding.”
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
chorioamnionitis is a serious infection of the placental tissues that can cause fetal and maternal morbidity and mortality.The best management is to deliver the baby as soon as possible to prevent further complications.
Normal ranges for maternal blood C-reactive protein (CRP), procalcitonin and interleukin 6 (IL6) are:
• CRP: <10 mg/L
• Procalcitonin: <0.5 ng/mL
• IL6: <5 pg/mL
These markers may be elevated in chorioamnionitis, but they have low sensitivity and specificity for diagnosis.
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