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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.

Contractions

B.

Bleeding

C.

Fever

D.

All of the above

Answer and Explanation

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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Related Questions

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 B

Explanation

Increased amniotic fluid index indicates a positive outcome of antibiotic therapy for a client who has PPROM at 28 weeks of gestation.Antibiotics are used to prevent or treat infection and prolong pregnancy in women with PPROM.Infection can cause oligohydramnios (low amniotic fluid) which can lead to fetal complications such as cord compression, pulmonary hypoplasia and limb deformities.

Therefore, an increased amniotic fluid index suggests that the infection has been reduced or resolved and the risk of preterm birth has been lowered.

Normal ranges for amniotic fluid index are 5 to 25 cm.Normal ranges for maternal pulse rate are 60 to 100 beats per minute.Normal ranges for maternal leukocyte count are 4.5 to 11 x 10^9/L.

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