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?

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

The correct answer is choice A, B and C. These interventions are part of the preoperative care for a client who is undergoing an emergency cesarean birth due to umbilical cord prolapse.Umbilical cord prolapse is a medical emergency that occurs when the umbilical cord slips through the cervix and into the vagina before the baby, causing fetal hypoxia.

Choice D is wrong because performing a leopold maneuver to determine fetal position is not necessary in this situation, as the fetal presentation is already known and the priority is to deliver the baby as soon as possible.

Choice E is wrong because applying an external fetal monitor to assess fetal heart rate is not sufficient in this situation, as the cord compression may cause severe bradycardia or variable decelerations.The nurse should manually lift the presenting part and hold it off the prolapsed cord while preparing for cesarean delivery.