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 D

Explanation

Corticosteroids have multiple effects on the fetus, including:

• Decreasing the risk of respiratory distress syndrome (RDS) by increasing the production of surfactant, a substance that helps the lungs expand and prevents them from collapsing.

• Reducing the incidence of intraventricular hemorrhage (IVH), a type of bleeding in the brain that can cause brain damage or death.

• Reducing the risk of necrotizing enterocolitis (NEC), a serious intestinal infection that can cause tissue death and perforation.

Normal ranges for gestational age are 37 to 42 weeks.

Normal ranges for fetal weight are 2.5 to 4.5 kg.

Normal ranges for fetal heart rate are 110 to 160 beats per minute.

Normal ranges for amniotic fluid index are 5 to 25 cm.

A. “This medication will help prevent preterm labor.” B. “This medication will help reduce the risk of bleeding.” C. “This medication will help mature your baby’s lungs.” D. “This medication will help lower your blood pressure.”

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.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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 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 reviewing the laboratory results of a client who has PPROM at 30 weeks of gestation. The nurse should expect to see which of the following values for the lecithin/sphingomyelin (L/S) ratio in the amniotic fluid?

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 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 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 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 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 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 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.)