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","D"]

Explanation

A temperature of 37.2°C (99°F) and uterine tenderness are signs of infection, which is a serious complication of PPROM.The normal temperature range during pregnancy is 36.4°C to 37.6°C (97.6°F to 99.6°F) orally.Uterine tenderness can indicate chorioamnionitis, which is an inflammation of the fetal membranes due to a bacterial infection.

A. “This medication will help prevent preterm labor.” B. “This medication will help reduce the risk of bleeding.” C. “This medication will help mature your baby’s lungs.” D. “This medication will help lower your blood pressure.”

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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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

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.).

Correct Answer is ["A","D"]

Explanation

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?

Correct Answer is C

Explanation

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 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?

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 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 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 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 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?

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?