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 D
Explanation
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.
Correct Answer is D
Explanation
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.
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