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 ["A","D"]

Explanation

A temperature of 37.2°C (99°F) and uterine tenderness are signs of infection, which is a serious complication of PPROM.The normal temperature range during pregnancy is 36.4°C to 37.6°C (97.6°F to 99.6°F) orally.Uterine tenderness can indicate chorioamnionitis, which is an inflammation of the fetal membranes due to a bacterial infection.

A. Deep tendon reflexes B. Urine output C. Serum magnesium level D. All of the above.

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.

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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.)

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Naxlex Comprehensive Predictor Exams

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.).

Correct Answer is ["A","D"]

Explanation

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 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 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 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 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 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 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 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 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.)