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?

Decreased fetal movements

Increased amniotic fluid index

Decreased maternal pulse rate

Increased maternal leukocyte count

Answer and Explanation

The Correct Answer is B

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.

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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.

A. Drinking water B. Taking prenatal vitamins C. Having sexual intercourse D. Performing fetal kick counts

Correct Answer is C

Explanation

Sexual intercourse can trigger uterine contractions and increase the risk of preterm labor.

The nurse should instruct the woman to avoid sexual intercourse if she is at risk for preterm labor.

Choice A is wrong because drinking water is important for hydration and preventing dehydration, which can also cause uterine contractions.

Choice B is wrong because taking prenatal vitamins is essential for providing adequate nutrition and preventing deficiencies that can affect fetal development.

Choice D is wrong because performing fetal kick counts is a way of monitoring fetal well-being and detecting any signs of distress or reduced movement.

The nurse should encourage the woman to perform fetal kick counts regularly and report any concerns to her health care provider.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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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?