Summary
Summary ( 17 Questions)
A nurse is caring for a client who is at 26 weeks of gestation and has PPROM.
Which of the following medications should the nurse expect to administer to the client? (Select all that apply.)
Betamethasone is medications that can be given to a client who has PPROM.
magnesium sulfate is medications that can be given to a client who has PPROM.
ampicillin is medications that can be given to a client who has PPROM.
Oxytocin is a medication that can induce labor, which is not indicated for a client who has PPROM unless there are signs of fetal distress or maternal infection. Oxytocin can increase the risk of uterine rupture, placental abruption and fetal death.
Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that can also prevent preterm labor by inhibiting prostaglandin synthesis. However, it is not recommended for use after 32 weeks of gestation because it can cause premature closure of the ductus arteriosus, oligohydramnios and necrotizing enterocolitis in the baby.
Betamethasone, magnesium sulfate and ampicillin are medications that can be given to a client who has PPROM.
• Betamethasone is a corticosteroid that can help the baby’s lungs mature faster and reduce the risk of respiratory distress syndrome. It is usually given between 24 and 34 weeks of gestation.
• Magnesium sulfate is a tocolytic that can prevent preterm labor and reduce the risk of intraventricular hemorrhage and cerebral palsy in the baby. It is usually given for 24 to 48 hours after PPROM.
• Ampicillin is an antibiotic that can prevent or treat infection in the amniotic fluid, which is a common complication of PPROM. It can also prolong the latency period (the time between PPROM and delivery) and improve neonatal outcomes.
Normal ranges for gestational age are:
• 37 to 42 weeks for term pregnancy
• 34 to 36 weeks for late preterm pregnancy
• 32 to 33 weeks for moderate preterm pregnancy
• 28 to 31 weeks for very preterm pregnancy
• Less than 28 weeks for extremely preterm pregnancy