PROM and PPROM > Maternal & Newborn
Exam Review
Introduction
Total Questions : 4
Showing 4 questions, Sign in for moreA nurse is caring for a client who has PPROM at 34 weeks of gestation.
Which of the following interventions should the nurse implement? (Select all that apply.)
Explanation
Continuous fetal heart rate monitoring is indicated for clients who have PPROM to detect signs of fetal distress or infection.
corticosteroids are recommended for clients who have PPROM between 24 and 34 weeks of gestation to enhance fetal lung maturity and reduce the risk of respiratory distress syndrome and other neonatal complications.
A nurse is reviewing the laboratory results of a client who has PROM at 38 weeks of gestation.
Which of the following findings indicates a risk for infection?
Explanation
C-reactive protein (CRP) is a marker of inflammation and infection in the body.The normal range of CRP is less than 10 mg/L.A high level of CRP can be caused by bacterial or viral infections, autoimmune disorders, or tissue injury.
A nurse is teaching a client who has PROM about the possible complications for the fetus.
Which of the following statements by the client indicates an understanding of the teaching?
Explanation
PROM can increase the risk ofintra-amniotic infectionwhich can lead toinflammation of the fetal lungsandrespiratory distress syndrome.
Normal ranges for fetal head circumference vary depending on gestational age and sex, but generally range from about 31 to 40 cm at term.
A nurse is assessing a client who has PPROM at 32 weeks of gestation and is receiving magnesium sulfate infusion for fetal neuroprotection.
Which of the following findings should the nurse report to the provider immediately?
Explanation
This is a sign of magnesium toxicity, which can occur when a client is receiving magnesium sulfate infusion for fetal neuroprotection.
Magnesium sulfate can depress the central nervous system and respiratory system, leading to respiratory depression or arrest.The nurse should report this finding to the provider immediately and stop the infusion.
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