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?
Contractions
Bleeding
Fever
All of the above
The Correct Answer is D
The nurse should instruct the client to report any symptoms of contractions, bleeding, or fever immediately, as they may indicate complications of PPROM such as preterm labor, placental abruption, or chorioamnionitis.
PPROM is the rupture of membranes before 37 weeks of gestation.
It occurs in 3% of pregnancies and is the leading cause of preterm delivery. It can lead to serious complications for both the mother and the fetus. PPROM at 26 weeks of gestation is considered extreme PPROM and has a high risk of neonatal morbidity and mortality. The management of PPROM depends on the gestational age, maternal and fetal condition, and availability of neonatal care. The client with PPROM at 26 weeks of gestation should be on bed rest and receive antibiotics, corticosteroids, and magnesium sulfate to prolong latency, reduce neonatal complications, and prevent cerebral palsy.
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Correct Answer is D
Explanation
The nurse should instruct the client to report any symptoms of contractions, bleeding, or fever immediately, as they may indicate complications of PPROM such as preterm labor, placental abruption, or chorioamnionitis.
PPROM is the rupture of membranes before 37 weeks of gestation.
It occurs in 3% of pregnancies and is the leading cause of preterm delivery.It can lead to serious complications for both the mother and the fetus.PPROM at 26 weeks of gestation is considered extreme PPROM and has a high risk of neonatal morbidity and mortality.The management of PPROM depends on the gestational age, maternal and fetal condition, and availability of neonatal care.The client with PPROM at 26 weeks of gestation should be on bed rest and receive antibiotics, corticosteroids, and magnesium sulfate to prolong latency, reduce neonatal complications, and prevent cerebral palsy.
Correct Answer is D
Explanation
The nurse should perform all of the assessments listed to monitor for magnesium toxicity.
Magnesium sulfate is a drug that is given to prevent preterm labor by relaxing the uterine muscle.
However, it can also cause serious side effects such as weakness, low blood pressure, respiratory paralysis, and cardiac problems if the level of magnesium in the blood is too high.
The normal level of magnesium in the blood is about 1.5-2.5 mEq/L.Symptoms of toxicity may appear when the level reaches 4 mEq/L or higher.
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