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?

Avoid sexual intercourse until delivery

Report any vaginal bleeding to the provider

Drink at least 3 L of water per day

All of the above.

Answer and Explanation

The Correct Answer is D

The nurse should include all of these instructions for a client who has PPROM at 30 weeks of gestation and is on home bed rest.

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Correct Answer is D

Explanation

This value indicates a mature lecithin/sphingomyelin (L/S) ratio in the amniotic fluid, which reflects the fetal lung maturity and the low risk of respiratory distress syndrome (RDS) after birth.The L/S ratio is a test that measures the amount of lecithin and sphingomyelin, two types of phospholipids that are important for the formation of surfactant, a substance that prevents the lungs from collapsing.Lecithin increases and sphingomyelin stays constant as the fetus matures, so a higher L/S ratio indicates more surfactant and more lung development.A ratio of greater than 2:1 or 2.5:1 is 98% predictive of fetal lung maturity in most assays.

A. Fetal tachycardia B. Maternal leukocytosis C. Increased vaginal discharge D. All of the above

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.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a client who has PPROM at 30 weeks of gestation. The nurse should expect to see which of the following values for the lecithin/sphingomyelin (L/S) ratio in the amniotic fluid?

Correct Answer is D

Explanation

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?

Correct Answer is D

Explanation

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 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 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?

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 caring for a client with PROM who is receiving magnesium sulfate as a tocolytic agent. Which of the following assessments should the nurse perform to monitor for magnesium toxicity?

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.).

A nurse is teaching a pregnant woman who is at risk for pre-term labor. Which of the following activities should the nurse instruct the woman to avoid?

A nurse is caring for a client who has PPROM at 30 weeks of gestation and is receiving corticosteroids to enhance fetal lung maturity. The nurse should explain to the client that the corticosteroids will have which of the following effects on the fetus?

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?