An antenatal client at 32 weeks' gestation has been admitted to the hospital with premature rupture of membranes. She is not exhibiting any signs of labor. What is the priority nursing intervention for this client?

Administer parental antibiotics

Prepare for delivery

Provide emotional support

Assess cervical dilation every 6 hours

Answer and Explanation

The Correct Answer is A

A. Administer parenteral antibiotics. The primary concern with premature rupture of membranes (PROM) is the risk of infection, so administering antibiotics is crucial to prevent infection in both the mother and fetus.
B. Prepare for delivery. Without signs of labor, the focus is on preventing infection and monitoring, not immediate delivery.
C. Provide emotional support. While important, the priority intervention is preventing infection.
D. Assess cervical dilation every 6 hours. Routine cervical checks are not typically necessary unless there are signs of labor or other indications.

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Correct Answer is A

Explanation

A. Dysmenorrhea that is unresponsive to NSAIDs. Endometriosis often causes severe pelvic pain that does not improve with NSAIDs, distinguishing it from typical menstrual cramps.
B. A history of pelvic inflammatory disease (PID). PID is not directly associated with endometriosis and typically presents differently.
C. Abdominal bloating starting several days before menses. While bloating can occur with endometriosis, it is not a definitive symptom for diagnosis.
D. An atypical Papanicolaou smear at her last clinic visit. An atypical Pap smear is more related to cervical abnormalities, not endometriosis.

A. Tachypnea B. Wheezes or rales C. Bounding pulses D. Edematous E. Difficulty feeding F. Increased comfort laying down

Correct Answer is ["A","B","D","E"]

Explanation

A. Tachypnea. Rapid breathing can indicate respiratory distress associated with heart failure.
B. Wheezes or rales. These are abnormal breath sounds indicating fluid in the lungs, which can occur with heart failure.
C. Bounding pulses. Bounding pulses are not typically associated with heart failure; weak pulses may be present due to poor perfusion.
D. Edematous. Edema can occur due to fluid retention, a sign of heart failure.
E. Difficulty feeding. Poor feeding can result from decreased cardiac output affecting systemic circulation and energy for feeding.
F. Increased comfort laying down. Children with heart failure often prefer sitting upright due to respiratory distress.

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An antenatal client at 32 weeks' gestation has been admitted to the hospital with premature rupture of membranes. She is not exhibiting any signs of labor. What is the priority nursing intervention for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is interviewing a client who has a possible diagnosis of endometriosis. Which of the following findings in the client's history should the nurse recognize as consistent with a diagnosis of endometriosis?

Correct Answer is A

Explanation

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Correct Answer is ["A","B","D","E"]

Explanation

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