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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
These are signs and symptoms of infection that can occur after PROM (prelabor rupture of membranes), which is the leakage of amniotic fluid before labor begins.Infection can be very dangerous for both the mother and the baby.
Normal ranges for gestational age are 37 to 42 weeks for term pregnancy and less than 37 weeks for preterm pregnancy.Normal ranges for fetal heart rate are 110 to 160 beats per minute.
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.
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