Summary
Summary ( 17 Questions)
A nurse is assessing a client with PROM who is at 37 weeks of gestation.
The nurse notes that the client has a foul-smelling vaginal discharge and a temperature of 38.2°C (100.8°F).
The nurse recognizes these findings as indicative of:
placental abruption is the premature detachment of the placenta from the wall of the uterus, which can cause vaginal bleeding and abdominal pain.
It is not related to PROM or infection.
Chorioamnionitis is an infection of the membranes containing the fetus and the amniotic fluid. It can occur when the membranes rupture before labor, especially if the rupture is prolonged or preterm. Chorioamnionitis can cause fever, foul-smelling vaginal discharge, abdominal pain, and fetal tachycardia.
prolapsed cord is when the umbilical cord slips through the cervix and into the vagina before the baby, which can cause fetal distress and bradycardia. It is more likely to occur when the fetus is in an abnormal position or when there is too much amniotic fluid.
fetal distress is a general term that refers to signs of compromise in the fetus, such as abnormal heart rate, decreased movement, or meconium-stained amniotic fluid.
It can be caused by many factors, such as infection, placental abruption, or prolapsed cord, but it is not a specific diagnosis by itself.
Chorioamnionitis is an infection of the membranes containing the fetus and the amniotic fluid. It can occur when the membranes rupture before labor, especially if the rupture is prolonged or preterm. Chorioamnionitis can cause fever, foul-smelling vaginal discharge, abdominal pain, and fetal tachycardia.
Normal ranges for temperature are 36.5°C to 37.5°C (97.7°F to 99.5°F) and for fetal heart rate are 110 to 160 beats per minute.