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

Answer and Explanation

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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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. Fetal tachycardia B. Maternal leukocytosis C. Increased vaginal discharge D. All of the above

Correct Answer is D

Explanation

This is because PPROM increases the risk of infection for both the mother and the baby, and infection can cause fetal tachycardia, maternal leukocytosis, and increased vaginal discharge.

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

Normal ranges for maternal white blood cells are 4,500 to 11,000/mm3.

Normal ranges for vaginal discharge vary depending on the stage of pregnancy and other factors.

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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:

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 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?

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?

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 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 caring for a client who is at 26 weeks of gestation and has PPROM. Which of the following medications should the nurse expect to administer to the client? (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 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 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 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 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: