Clinical manifestations and Diagnostic tests
Clinical manifestations and Diagnostic tests ( 5 Questions)
A nurse is caring for a client who has PPROM at 32 weeks of gestation.
Which of the following findings should alert the nurse to the possibility of chorioamnionitis?
a fetal heart rate of 160 beats/min is within the normal range for a 32-week gestation fetus.
Maternal temperature of 38.2°C (100.8°F). This is because a high maternal temperature is a sign of chorioamnionitis, which is a serious infection of the placental tissues that can occur in patients with PPROM (preterm premature rupture of membranes). Chorioamnionitis can be very dangerous for both mother and baby and requires immediate treatment with antibiotics and delivery.
clear amniotic fluid does not indicate chorioamnionitis. In fact, chorioamnionitis can cause the amniotic fluid to become cloudy, foul-smelling, or purulent.
absent uterine contractions are not a sign of chorioamnionitis. Uterine contractions can be present or absent in patients with PPROM, depending on the stage of labor and the presence of other factors such as infection or abruption.
Maternal temperature of 38.2°C (100.8°F). This is because a high maternal temperature is a sign of chorioamnionitis, which is a serious infection of the placental tissues that can occur in patients with PPROM (preterm premature rupture of membranes). Chorioamnionitis can be very dangerous for both mother and baby and requires immediate treatment with antibiotics and delivery.