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

Answer and Explanation

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.

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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.

A. Avoid sexual intercourse until delivery B. Report any vaginal bleeding to the provider C. Drink at least 3 L of water per day D. All of the above.

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 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?

Correct Answer is D

Explanation

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?

A nurse is preparing to administer betamethasone to a client who has PPROM at 26 weeks of gestation. Which of the following statements by the nurse is appropriate?

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 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 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?

A nurse is reviewing the laboratory results of a client who has PPROM at 30 weeks of gestation. The nurse should expect to see which of the following values for the lecithin/sphingomyelin (L/S) ratio in the amniotic fluid?

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 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?