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?

Decrease the risk of respiratory distress syndrome

Increase the production of surfactant

Reduce the incidence of intraventricular hemorrhage

All of the above

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is ["A","B","C"]

Explanation

Betamethasone, magnesium sulfate and ampicillin are medications that can be given to a client who has PPROM.

• Betamethasone is a corticosteroid that can help the baby’s lungs mature faster and reduce the risk of respiratory distress syndrome.It is usually given between 24 and 34 weeks of gestation.

• Magnesium sulfate is a tocolytic that can prevent preterm labor and reduce the risk of intraventricular hemorrhage and cerebral palsy in the baby.It is usually given for 24 to 48 hours after PPROM.

• Ampicillin is an antibiotic that can prevent or treat infection in the amniotic fluid, which is a common complication of PPROM.It can also prolong the latency period (the time between PPROM and delivery) and improve neonatal outcomes.

Normal ranges for gestational age are:

• 37 to 42 weeks for term pregnancy

• 34 to 36 weeks for late preterm pregnancy

• 32 to 33 weeks for moderate preterm pregnancy

• 28 to 31 weeks for very preterm pregnancy

• Less than 28 weeks for extremely preterm pregnancy

A. Decreased fetal movements B. Increased amniotic fluid index C. Decreased maternal pulse rate D. Increased maternal leukocyte count

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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.)

Correct Answer is ["A","B","C"]

Explanation

A nurse is evaluating the effectiveness of antibiotic therapy for a client who has PPROM at 28 weeks of gestation. Which of the following findings indicates a positive outcome?

Correct Answer is B

Explanation

A nurse is teaching a pregnant woman who is at risk for pre-term labor. Which of the following activities should the nurse instruct the woman to avoid?

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 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?

A nurse is caring for a client who is at 26 weeks of gestation and has a diagnosis of PPROM. Which of the following findings should the nurse report to the provider? (Select all that apply.).

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 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:

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?