A nurse is caring for a client who has PPROM at 32 weeks of gestation.

Which of the following findings should alert the nurse to the possibility of chorioamnionitis?

Fetal heart rate of 160 beats/min

Maternal temperature of 38.2°C (100.8°F)

Clear amniotic fluid

Absent uterine contractions

Answer and Explanation

The Correct Answer is B

Maternal temperature of 38.2°C (100.8°F). This is because a high maternal temperature is a sign of chorioamnionitis, which is a serious infection of the placental tissues that can occur in patients with PPROM (preterm premature rupture of membranes). Chorioamnionitis can be very dangerous for both mother and baby and requires immediate treatment with antibiotics and delivery.

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Correct Answer is A

Explanation

A ferning test is used to detect the presence of amniotic fluid in the vagina, which can indicate preterm premature rupture of membranes (PPROM).To perform the test, the nurse should collect a sample of vaginal fluid with a sterile cotton swab and place it on a glass slide without a cover slip.Then, the nurse should examine the slide under low-power magnification and look for fern-like patterns that form when the fluid dries.

A. The fluid is amniotic and indicates membrane rupture B. The fluid is urine or vaginal secretions and indicates no membrane rupture C. The fluid is blood and indicates placental abruption D. The fluid is meconium-stained and indicates fetal distress.

Correct Answer is B

Explanation

This is because the nitrazine paper test involves putting a drop of fluid obtained from the vagina onto paper strips containing nitrazine dye.

The strips change color depending on the pH of the fluid.The strips will turn blue if the pH is greater than 6.0, which is indicative of amniotic fluid.However, if the paper remains yellow after contact with the fluid, it means the pH is less than 6.0, which is indicative of urine or vaginal secretions.

Normal ranges for pH of vaginal fluid are 3.8 to 4.5, while normal ranges for pH of amniotic fluid are 7.0 to 7.5.

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A nurse is caring for a client who has PPROM at 32 weeks of gestation. Which of the following findings should alert the nurse to the possibility of chorioamnionitis?

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A nurse is caring for a client who has PPROM at 32 weeks of gestation. Which of the following findings should alert the nurse to the possibility of chorioamnionitis?

A nurse is caring for a client who has PPROM at 32 weeks of gestation.

Which of the following findings should alert the nurse to the possibility of chorioamnionitis?