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?
Drink at least 2 L of fluids daily
Use a condom during sexual intercourse
Report any decrease in fetal movement
Take a sitz bath twice a day
The Correct Answer is A
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
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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