Summary
Summary ( 17 Questions)
A nurse is evaluating the effectiveness of antibiotic therapy for a client who has PPROM at 28 weeks of gestation.
Which of the following findings indicates a positive outcome?
decreased fetal movements can indicate fetal distress or hypoxia, which are not positive outcomes of antibiotic therapy.
Increased amniotic fluid index indicates a positive outcome of antibiotic therapy for a client who has PPROM at 28 weeks of gestation. Antibiotics are used to prevent or treat infection and prolong pregnancy in women with PPROM. Infection can cause oligohydramnios (low amniotic fluid) which can lead to fetal complications such as cord compression, pulmonary hypoplasia and limb deformities.
Therefore, an increased amniotic fluid index suggests that the infection has been reduced or resolved and the risk of preterm birth has been lowered.
decreased maternal pulse rate can indicate maternal hypotension or bradycardia, which are not positive outcomes of antibiotic therapy.
increased maternal leukocyte count can indicate maternal infection or inflammation, which are not positive outcomes of antibiotic therapy.
Increased amniotic fluid index indicates a positive outcome of antibiotic therapy for a client who has PPROM at 28 weeks of gestation. Antibiotics are used to prevent or treat infection and prolong pregnancy in women with PPROM. Infection can cause oligohydramnios (low amniotic fluid) which can lead to fetal complications such as cord compression, pulmonary hypoplasia and limb deformities.
Therefore, an increased amniotic fluid index suggests that the infection has been reduced or resolved and the risk of preterm birth has been lowered.
Normal ranges for amniotic fluid index are 5 to 25 cm. Normal ranges for maternal pulse rate are 60 to 100 beats per minute. Normal ranges for maternal leukocyte count are 4.5 to 11 x 10^9/L.