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 B
Explanation
Nifedipine is a calcium channel blocker that lowers blood pressure by relaxing the blood vessels.It can cause dizziness and orthostatic hypotension (a drop in blood pressure when standing up), so the client should avoid getting up suddenly from a lying or sitting position.
Choice A is wrong because grapefruit juice can increase the level of nifedipine in the blood and cause side effects such as headache, flushing, and swelling.
The client should avoid grapefruit and grapefruit juice while taking nifedipine.
Choice C is wrong because nifedipine does not affect the heart rate directly.
The client does not need to check the pulse before taking nifedipine, but should monitor the blood pressure regularly.
Choice D is wrong because nifedipine is prescribed to prevent pre-term labor by relaxing the uterine muscles.
The client should not stop taking nifedipine if contractions occur, but should contact the health care provider for further instructions.Stopping nifedipine suddenly can cause a rebound increase in blood pressure and chest pain.
Correct Answer is A
Explanation
Drinking at least 2 L of fluids daily can help prevent dehydration and infection, which are possible complications of PROM (premature rupture of membranes).
Fluid intake also helps maintain amniotic fluid volume and fetal well-being.
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