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 D

Explanation

This is because PPROM increases the risk of infection for both the mother and the baby, and infection can cause fetal tachycardia, maternal leukocytosis, and increased vaginal discharge.

Normal ranges for fetal heart rate are 110 to 160 beats per minute.

Normal ranges for maternal white blood cells are 4,500 to 11,000/mm3.

Normal ranges for vaginal discharge vary depending on the stage of pregnancy and other factors.

A. 0.5 B. 1.0 C. 1.5 D. 2.0

Correct Answer is D

Explanation

This value indicates a mature lecithin/sphingomyelin (L/S) ratio in the amniotic fluid, which reflects the fetal lung maturity and the low risk of respiratory distress syndrome (RDS) after birth.The L/S ratio is a test that measures the amount of lecithin and sphingomyelin, two types of phospholipids that are important for the formation of surfactant, a substance that prevents the lungs from collapsing.Lecithin increases and sphingomyelin stays constant as the fetus matures, so a higher L/S ratio indicates more surfactant and more lung development.A ratio of greater than 2:1 or 2.5:1 is 98% predictive of fetal lung maturity in most assays.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has PPROM at 32 weeks of gestation and is receiving antibiotics prophylactically. The nurse should monitor the client for which of the following signs of infection?

Correct Answer is D

Explanation

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?

Correct Answer is D

Explanation

A nurse is teaching a client who is at 30 weeks of gestation and has PROM about the signs and symptoms of infection. Which of the following should the nurse include in the teaching? (Select all that apply.)

A nurse is providing discharge instructions to a client who experienced PROM at 20 weeks of gestation and is on home bed rest. Which of the following instructions should the nurse include?

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?

A nurse is caring for a client who is at 26 weeks of gestation and has PPROM. Which of the following medications should the nurse expect to administer to the client? (Select all that apply.)

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 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 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 evaluating the understanding of a client who is at 32 weeks of gestation and has PPROM after providing discharge instructions. Which of the following statements by the client indicates a need for further teaching?

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?