A nurse is monitoring a client with PROM at 34 weeks of gestation who is receiving tocolytic therapy.

Which of the following findings would indicate a potential adverse effect of the medication?

Maternal heart rate of 110 beats per minute

Maternal blood pressure of 140/90 mmHg

Maternal temperature of 37.8°C (100°F)

Maternal respiratory rate of 20 breaths per minute.

Answer and Explanation

The Correct Answer is C

indicates a potential adverse effect of the medication. This could be a sign of infection or inflammation, which are common complications of preterm premature rupture of membranes (PPROM) and can lead to early delivery and neonatal morbidity. Tocolytic therapy aims to prolong the latency period and reduce the risks of prematurity, but it might also prolong fetal exposure to infection.

Normal ranges for maternal vital signs in pregnancy are:

• Heart rate: 60 to 100 beats per minute

• Blood pressure: less than 140/90 mmHg

• Temperature: 36.1°C to 37.2°C (97°F to 99°F)

• Respiratory rate: 16 to 20 breaths per minute

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Correct Answer is A

Explanation

A nitrazine test is a conventional test that uses pH testing of leaked amniotic fluid.Amniotic fluid is alkaline and turns the nitrazine paper blue, while vaginal secretions are acidic and turn the paper yellow or green.

A. Change perineal pads frequently and report any changes in color or odor of amniotic fluid leakage. B. Drink plenty of fluids and avoid caffeine and alcohol. C. Monitor fetal movements daily and report any decrease or absence. D. Have sexual intercourse or douche only with doctor’s approval. E. Report any signs of infection, labor, cord prolapse, or fetal distress immediately.

Correct Answer is ["A","C","E"]

Explanation

These are the instructions that the nurse should include in the teaching plan for a client with PPROM at 30 weeks of gestation who is being discharged home on bed rest with bathroom privileges.

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A nurse is monitoring a client with PROM at 34 weeks of gestation who is receiving tocolytic therapy. Which of the following findings would indicate a potential adverse effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a sterile speculum examination on a client with suspected PROM at 36 weeks of gestation. The nurse observes a pool of clear fluid in the vagina. What is the most appropriate action for the nurse to take next?

Correct Answer is A

Explanation

A nurse is educating a client with PPROM at 30 weeks of gestation who is being discharged home on bed rest with bathroom privileges. Which of the following instructions should the nurse include in the teaching plan? (Select all that apply.).

Correct Answer is ["A","C","E"]

Explanation

A nurse is monitoring a client with PROM at 34 weeks of gestation who is receiving tocolytic therapy. Which of the following findings would indicate a potential adverse effect of the medication?

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A nurse is caring for a client with PPROM at 32 weeks of gestation. The client asks the nurse why she needs to take corticosteroids. The nurse’s best response is:

A nurse is monitoring a client with PROM at 34 weeks of gestation who is receiving tocolytic therapy.

Which of the following findings would indicate a potential adverse effect of the medication?