Summary
Summary ( 17 Questions)
A nurse is caring for a client who has PPROM at 26 weeks of gestation and is on bed rest.
The nurse should instruct the client to report which of the following symptoms immediately?
contractions are not a normal symptom of PPROM and may indicate preterm labor or uterine irritability. Preterm labor can lead to significant neonatal morbidity and mortality.
bleeding is not a normal symptom of PPROM and may indicate placental abruption or placenta previa. Placental abruption is the premature separation of the placenta from the uterine wall and can cause fetal distress, hypoxia, and hemorrhage.
fever is not a normal symptom of PPROM and may indicate chorioamnionitis or intra-amniotic infection. Chorioamnionitis is an inflammation of the fetal membranes and can cause maternal sepsis, endometritis, and neonatal sepsis.
The nurse should instruct the client to report any symptoms of contractions, bleeding, or fever immediately, as they may indicate complications of PPROM such as preterm labor, placental abruption, or chorioamnionitis.
The nurse should instruct the client to report any symptoms of contractions, bleeding, or fever immediately, as they may indicate complications of PPROM such as preterm labor, placental abruption, or chorioamnionitis.
PPROM is the rupture of membranes before 37 weeks of gestation.
It occurs in 3% of pregnancies and is the leading cause of preterm delivery. It can lead to serious complications for both the mother and the fetus. PPROM at 26 weeks of gestation is considered extreme PPROM and has a high risk of neonatal morbidity and mortality. The management of PPROM depends on the gestational age, maternal and fetal condition, and availability of neonatal care. The client with PPROM at 26 weeks of gestation should be on bed rest and receive antibiotics, corticosteroids, and magnesium sulfate to prolong latency, reduce neonatal complications, and prevent cerebral palsy.