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 client has a high risk of developing preterm labor B. The client has a high risk of developing postpartum hemorrhage C. The client has confirmed membrane rupture D. The client has confirmed fetal lung maturity

Correct Answer is C

Explanation

The client has confirmed membrane rupture.This is because the AmniSure ROM Test detects the presence of PAMG-1 protein in the vaginal discharge of pregnant women, which is a marker of amniotic fluid.A positive test result means that the fetal membranes have ruptured and the amniotic fluid has leaked into the vagina.

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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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Naxlex Comprehensive Predictor Exams

A nurse is preparing to perform a ferning test on a client who has PPROM at 28 weeks of gestation. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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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?