A nurse is caring for a client with PPROM who is experiencing uterine contractions and signs of chorioamnionitis.
The nurse anticipates that the health care provider will order which of the following interventions?
Discontinue oxytocin infusion and administer terbutaline
Discontinue antibiotics and administer corticosteroids
Discontinue tocolytics and prepare for delivery
Discontinue corticosteroids and administer magnesium sulfate
The Correct Answer is C
chorioamnionitis is a serious infection of the placental tissues that can cause fetal and maternal morbidity and mortality. The best management is to deliver the baby as soon as possible to prevent further complications.
Normal ranges for maternal blood C-reactive protein (CRP), procalcitonin and interleukin 6 (IL6) are:
• CRP: <10 mg/L
• Procalcitonin: <0.5 ng/mL
• IL6: <5 pg/mL
These markers may be elevated in chorioamnionitis, but they have low sensitivity and specificity for diagnosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The nurse should include all of these instructions for a client who has PPROM at 30 weeks of gestation and is on home bed rest.
Correct Answer is C
Explanation
Betamethasone is a corticosteroid that is given to women who have PPROM (preterm prelabor rupture of membranes) at 24 to 36 weeks of gestation to reduce the risk of neonatal respiratory distress syndrome and other complications.It is given as two doses of 12 mg intramuscularly, 24 hours apart.
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