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.)

Increased vaginal discharge

Foul-smelling amniotic fluid

Abdominal cramping

Decreased fetal movement

Headache

Answer and Explanation

Correct Answer : B,C,D

These are signs and symptoms of infection that can occur after PROM (prelabor rupture of membranes), which is the leakage of amniotic fluid before labor begins. Infection can be very dangerous for both the mother and the baby.

Normal ranges for gestational age are 37 to 42 weeks for term pregnancy and less than 37 weeks for preterm pregnancy. Normal ranges for fetal heart rate are 110 to 160 beats per minute.

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Correct Answer is C

Explanation

Betamethasone is a corticosteroid that is given to women who have PPROM (preterm prelabor rupture of membranes) at 24 to 36 weeks of gestation to reduce the risk of neonatal respiratory distress syndrome and other complications.It is given as two doses of 12 mg intramuscularly, 24 hours apart.

A. Drinking water B. Taking prenatal vitamins C. Having sexual intercourse D. Performing fetal kick counts

Correct Answer is C

Explanation

Sexual intercourse can trigger uterine contractions and increase the risk of preterm labor.

The nurse should instruct the woman to avoid sexual intercourse if she is at risk for preterm labor.

Choice A is wrong because drinking water is important for hydration and preventing dehydration, which can also cause uterine contractions.

Choice B is wrong because taking prenatal vitamins is essential for providing adequate nutrition and preventing deficiencies that can affect fetal development.

Choice D is wrong because performing fetal kick counts is a way of monitoring fetal well-being and detecting any signs of distress or reduced movement.

The nurse should encourage the woman to perform fetal kick counts regularly and report any concerns to her health care provider.

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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.)

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

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?

Correct Answer is C

Explanation

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 30 weeks of gestation and is receiving corticosteroids to enhance fetal lung maturity. The nurse should explain to the client that the corticosteroids will have which of the following effects on the fetus?

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 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 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 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 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 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?

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.)