PROM and PPROM > Maternal & Newborn
Exam Review
Potential Complications and Outcomes
Total Questions : 5
Showing 5 questions, Sign in for moreA nurse is caring for a client who has PPROM at 32 weeks of gestation.
The nurse should monitor the client for which of the following signs of infection? (Select all that apply.).
Explanation
All are signs of infection that can occur in a client who has PPROM at 32 weeks of gestation.
Infection is a serious complication of PPROM that can affect both the mother and the baby.
A client who has PROM at 38 weeks of gestation is admitted to the labor and delivery unit.
The nurse should perform which of the following interventions first?
Explanation
PROM increases the risk of infection, cord compression, and fetal distress, so monitoring the fetal well-being is the priority intervention.
A nurse is teaching a pregnant client about the risk factors for PROM.
Which of the following statements by the client indicates a need for further teaching?
Explanation
Having sex as often as possible does not keep the cervix healthy and may increase the risk of premature rupture of membranes (PROM), which is when the amniotic sac breaks before labor begins.PROM can cause infection, premature birth and other complications for the mother and the baby.
A client who has PPROM at 28 weeks of gestation is receiving magnesium sulfate for fetal neuroprotection.
The nurse should monitor the client for which of the following adverse effects of magnesium sulfate?
Explanation
Magnesium sulfate is a drug that can reduce the risk of cerebral palsy in preterm infants when given to women at risk of early preterm birth.However, it can also cause adverse effects such as respiratory depression, hypotension, hypocalcemia, and loss of deep tendon reflexes in the mother.Therefore, the nurse should monitor the vital signs and reflexes of the woman receiving magnesium sulfate and stop the infusion if signs of toxicity appear.
A nurse is reviewing the electronic fetal monitor tracing of a client who has PROM at 34 weeks of gestation.
The nurse observes variable decelerations in the fetal heart rate.
The nurse should recognize that this finding indicates which of the following?
Explanation
Variable decelerations are abrupt drops in the fetal heart rate below baseline that last 15 seconds to less than two minutes.They are caused by reduced blood flow and oxygen delivery to the fetus due to umbilical cord compression.The onset, depth, and duration of variable decelerations vary with uterine contractions or fetal movement.
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