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 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.

A. Avoid sexual intercourse until delivery B. Report any vaginal bleeding to the provider C. Drink at least 3 L of water per day D. All of the above.

Correct Answer is D

Explanation

The nurse should include all of these instructions for a client who has PPROM at 30 weeks of gestation and is on home bed rest.

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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 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?

Correct Answer is C

Explanation

A nurse is providing discharge instructions to a client who has PPROM at 30 weeks of gestation and is on home bed rest. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

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 assessing a client with PROM who is at 37 weeks of gestation. The nurse notes that the client has a foul-smelling vaginal discharge and a temperature of 38.2°C (100.8°F). The nurse recognizes these findings as indicative of:

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 caring for a client who has PPROM at 26 weeks of gestation and is on bed rest. The nurse should instruct the client to report which of the following symptoms immediately?

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?

A nurse is caring for a client who is at 26 weeks of gestation and has a diagnosis of PPROM. Which of the following findings should the nurse report to the provider? (Select all that apply.).

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?

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 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?