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.)

Increased vaginal discharge

Foul-smelling amniotic fluid

Abdominal cramping

Decreased fetal movement

Headache

Answer and Explanation

Correct Answer : B,C,D

These are signs and symptoms of infection that can occur after PROM (prelabor rupture of membranes), which is the leakage of amniotic fluid before labor begins. Infection can be very dangerous for both the mother and the baby.

Normal ranges for gestational age are 37 to 42 weeks for term pregnancy and less than 37 weeks for preterm pregnancy. Normal ranges for fetal heart rate are 110 to 160 beats per minute.

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Correct Answer is B

Explanation

Nifedipine is a calcium channel blocker that lowers blood pressure by relaxing the blood vessels.It can cause dizziness and orthostatic hypotension (a drop in blood pressure when standing up), so the client should avoid getting up suddenly from a lying or sitting position.

Choice A is wrong because grapefruit juice can increase the level of nifedipine in the blood and cause side effects such as headache, flushing, and swelling.

The client should avoid grapefruit and grapefruit juice while taking nifedipine.

Choice C is wrong because nifedipine does not affect the heart rate directly.

The client does not need to check the pulse before taking nifedipine, but should monitor the blood pressure regularly.

Choice D is wrong because nifedipine is prescribed to prevent pre-term labor by relaxing the uterine muscles.

The client should not stop taking nifedipine if contractions occur, but should contact the health care provider for further instructions.Stopping nifedipine suddenly can cause a rebound increase in blood pressure and chest pain.

A. Placental abruption B. Chorioamnionitis C. Prolapsed cord D. Fetal distress

Correct Answer is B

Explanation

Chorioamnionitis is an infection of the membranes containing the fetus and the amniotic fluid.It can occur when the membranes rupture before labor, especially if the rupture is prolonged or preterm.Chorioamnionitis can cause fever, foul-smelling vaginal discharge, abdominal pain, and fetal tachycardia.

Normal ranges for temperature are 36.5°C to 37.5°C (97.7°F to 99.5°F) and for fetal heart rate are 110 to 160 beats per minute.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

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:

Correct Answer is B

Explanation

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 26 weeks of gestation and is on bed rest. The nurse should instruct the client to report which of the following symptoms immediately?

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 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 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 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 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 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 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.)