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 A

Explanation

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.

A. Decreased fetal movements B. Increased amniotic fluid index C. Decreased maternal pulse rate D. Increased maternal leukocyte count

Correct Answer is B

Explanation

Increased amniotic fluid index indicates a positive outcome of antibiotic therapy for a client who has PPROM at 28 weeks of gestation.Antibiotics are used to prevent or treat infection and prolong pregnancy in women with PPROM.Infection can cause oligohydramnios (low amniotic fluid) which can lead to fetal complications such as cord compression, pulmonary hypoplasia and limb deformities.

Therefore, an increased amniotic fluid index suggests that the infection has been reduced or resolved and the risk of preterm birth has been lowered.

Normal ranges for amniotic fluid index are 5 to 25 cm.Normal ranges for maternal pulse rate are 60 to 100 beats per minute.Normal ranges for maternal leukocyte count are 4.5 to 11 x 10^9/L.

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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 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?

Correct Answer is A

Explanation

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?

Correct Answer is B

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?

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 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 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 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 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 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 teaching a client who is at 30 weeks of gestation and has PROM about the signs and symptoms of infection. Which of the following should the nurse include in the teaching? (Select all that apply.)

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?