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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The nurse should instruct the client to report any symptoms of contractions, bleeding, or fever immediately, as they may indicate complications of PPROM such as preterm labor, placental abruption, or chorioamnionitis.
PPROM is the rupture of membranes before 37 weeks of gestation.
It occurs in 3% of pregnancies and is the leading cause of preterm delivery.It can lead to serious complications for both the mother and the fetus.PPROM at 26 weeks of gestation is considered extreme PPROM and has a high risk of neonatal morbidity and mortality.The management of PPROM depends on the gestational age, maternal and fetal condition, and availability of neonatal care.The client with PPROM at 26 weeks of gestation should be on bed rest and receive antibiotics, corticosteroids, and magnesium sulfate to prolong latency, reduce neonatal complications, and prevent cerebral palsy.
Correct Answer is ["A","B","C"]
Explanation
Betamethasone, magnesium sulfate and ampicillin are medications that can be given to a client who has PPROM.
• Betamethasone is a corticosteroid that can help the baby’s lungs mature faster and reduce the risk of respiratory distress syndrome.It is usually given between 24 and 34 weeks of gestation.
• Magnesium sulfate is a tocolytic that can prevent preterm labor and reduce the risk of intraventricular hemorrhage and cerebral palsy in the baby.It is usually given for 24 to 48 hours after PPROM.
• Ampicillin is an antibiotic that can prevent or treat infection in the amniotic fluid, which is a common complication of PPROM.It can also prolong the latency period (the time between PPROM and delivery) and improve neonatal outcomes.
Normal ranges for gestational age are:
• 37 to 42 weeks for term pregnancy
• 34 to 36 weeks for late preterm pregnancy
• 32 to 33 weeks for moderate preterm pregnancy
• 28 to 31 weeks for very preterm pregnancy
• Less than 28 weeks for extremely preterm pregnancy
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