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:
Placental abruption
Chorioamnionitis
Prolapsed cord
Fetal distress
The Correct Answer is B
Chorioamnionitis is an infection of the membranes containing the fetus and the amniotic fluid. It can occur when the membranes rupture before labor, especially if the rupture is prolonged or preterm. Chorioamnionitis can cause fever, foul-smelling vaginal discharge, abdominal pain, and fetal tachycardia.
Normal ranges for temperature are 36.5°C to 37.5°C (97.7°F to 99.5°F) and for fetal heart rate are 110 to 160 beats per minute.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
A temperature of 37.2°C (99°F) and uterine tenderness are signs of infection, which is a serious complication of PPROM.The normal temperature range during pregnancy is 36.4°C to 37.6°C (97.6°F to 99.6°F) orally.Uterine tenderness can indicate chorioamnionitis, which is an inflammation of the fetal membranes due to a bacterial infection.
Correct Answer is A
Explanation
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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