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?
“I should drink plenty of fluids to stay hydrated.”
“I should avoid sexual intercourse until my membranes are intact.”
“I should monitor my temperature every 4 hours.”
“I should use a tampon if I have any bleeding.”
The Correct Answer is D
The client should not use a tampon if they have any bleeding because it can increase the risk of infection.
A tampon can also interfere with the assessment of the amount and color of the bleeding.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
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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