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?

0.5

1.0

1.5

2.0

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is D

Explanation

The nurse should perform all of the assessments listed to monitor for magnesium toxicity.

Magnesium sulfate is a drug that is given to prevent preterm labor by relaxing the uterine muscle.

However, it can also cause serious side effects such as weakness, low blood pressure, respiratory paralysis, and cardiac problems if the level of magnesium in the blood is too high.

The normal level of magnesium in the blood is about 1.5-2.5 mEq/L.Symptoms of toxicity may appear when the level reaches 4 mEq/L or higher.

A. “I should drink plenty of fluids to stay hydrated.” B. “I should avoid sexual intercourse until my membranes are intact.” C. “I should monitor my temperature every 4 hours.” D. “I should use a tampon if I have any bleeding.”

Correct Answer is D

Explanation

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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?

Correct Answer is D

Explanation

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?

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?

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 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 preparing to administer betamethasone to a client who has PPROM at 26 weeks of gestation. Which of the following statements by the nurse is appropriate?

A nurse is providing discharge instructions to a client who had pre-term labor and was prescribed oral nifedipine. Which of the following statements by the client indicates an understanding of the teaching?

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?

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?