A nurse is teaching a pregnant woman who is at risk for pre-term labor.

Which of the following activities should the nurse instruct the woman to avoid?

Drinking water

Taking prenatal vitamins

Having sexual intercourse

Performing fetal kick counts

Answer and Explanation

The Correct Answer is C

Sexual intercourse can trigger uterine contractions and increase the risk of preterm labor.

The nurse should instruct the woman to avoid sexual intercourse if she is at risk for preterm labor.

Choice A is wrong because drinking water is important for hydration and preventing dehydration, which can also cause uterine contractions.

Choice B is wrong because taking prenatal vitamins is essential for providing adequate nutrition and preventing deficiencies that can affect fetal development.

Choice D is wrong because performing fetal kick counts is a way of monitoring fetal well-being and detecting any signs of distress or reduced movement.

The nurse should encourage the woman to perform fetal kick counts regularly and report any concerns to her health care provider.

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Correct Answer is D

Explanation

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.

A. Betamethasone B. Magnesium sulfate C. Ampicillin D. Oxytocin E. Indomethacin

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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A nurse is teaching a pregnant woman who is at risk for pre-term labor. Which of the following activities should the nurse instruct the woman to avoid?

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Naxlex Comprehensive Predictor Exams

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?

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.)

Correct Answer is ["A","B","C"]

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?

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 teaching a pregnant woman who is at risk for pre-term labor. Which of the following activities should the nurse instruct the woman to avoid?

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 has PPROM at 32 weeks of gestation and is receiving antibiotics prophylactically. The nurse should monitor the client for which of the following signs of infection?

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 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 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 pregnant woman who is at risk for pre-term labor.

Which of the following activities should the nurse instruct the woman to avoid?