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?

Drink at least 2 L of fluids daily

Use a condom during sexual intercourse

Report any decrease in fetal movement

Take a sitz bath twice a day

Answer and Explanation

The Correct Answer is A

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.

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

Explanation

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

A. Deep tendon reflexes B. Urine output C. Serum magnesium level D. All of the above.

Correct Answer is D

Explanation

The nurse should perform all of the assessments listed to monitor for magnesium toxicity.

Magnesium sulfate is a drug that is given to prevent preterm labor by relaxing the uterine muscle.

However, it can also cause serious side effects such as weakness, low blood pressure, respiratory paralysis, and cardiac problems if the level of magnesium in the blood is too high.

The normal level of magnesium in the blood is about 1.5-2.5 mEq/L.Symptoms of toxicity may appear when the level reaches 4 mEq/L or higher.

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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?

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Naxlex Comprehensive Predictor Exams

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.)

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

Explanation

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?

Correct Answer is D

Explanation

A nurse is teaching a pregnant woman who is at risk for pre-term labor. Which of the following activities should the nurse instruct the woman to avoid?

A nurse is preparing to administer betamethasone to a client who has PPROM at 26 weeks of gestation. Which of the following statements by the nurse is appropriate?

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 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 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?

A nurse is evaluating the effectiveness of antibiotic therapy for a client who has PPROM at 28 weeks of gestation. Which of the following findings indicates a positive outcome?

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 providing discharge instructions to a client who had pre-term labor and was prescribed oral nifedipine. Which of the following statements by the client indicates an understanding of the teaching?

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?