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Nurs 2044 Exam 3 Ch. 20 Questions With Complete Solutions
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Nurs 2044 Exam 3 Ch. 20 Questions With Complete Solutions
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Nurs 2044 Exam 3 Ch. 20 Questions With Complete Solutions The nurse is caring for a patient at 30 weeks' gestation who is experiencing preterm premature rupture of membranes (PPROM). Which statement indicates that the patient needs additional teaching? "If I: Choice 1 "Were having a singleton pregnancy instead of twins, my membranes would probably not have ruptured." Choice 2 "Develop a urinary tract infection in my next pregnancy, I might rupture membranes early again." Choice 3 "Want to become pregnant again, I will have to plan o n being on bed rest for the whole pregnancy." Choice 4 "Have bleeding in the third trimester of my next pregnancy, I might rupture membranes again." hhhCorrect Answers hhhRationale 1 Multifetal gestation increases the risk for PPROM. Answer 1 false Rationale 2 A UTI increases the risk for PPROM. Answer 2 false Rationale 3 There is no evidence indicating that bed rest in a subsequent pregnancy decreases the risk for PPROM. Answer 3 true Rationale 4 Second - and third -trimester bleeding increases the risk for PPROM. Answer 4 false A clinical nurse coordinator is teaching a class of nursing students about surgical and postoperative care of the woman who undergoes cerclage. Which nursing stu dent's statement indicates the need for further clarification of the teaching? Choice 1 "Sometimes cerclage can be performed on an outpatient basis." Choice 2 "If cerclage is performed emergently, the woman will usually be hospitalized for at least fiv e days." Choice 3 "If the woman's amniotic sac is bulging, the cerclage is contraindicated and the procedure cannot be performed." Choice 4 "After 37 weeks' gestation, the woman's cerclage may be cut in order to allow for vaginal delivery." hhhCorrect Ans wers hhhdRationale 1 An uncomplicated elective cerclage may be done on an outpatient basis or the woman may be hospitalized and discharged after 24 to 48 hours. An emergency cerclage, however, requires hospitalization for 5 to 7 days or longer. Answer 1 fals e Rationale 2 An uncomplicated elective cerclage may be done on an outpatient basis or the woman may be hospitalized and discharged after 24 to 48 hours. An emergency cerclage, however, requires hospitalization for 5 to 7 days or longer. Answer 2 false Rationale 3 Decompression of a bulging amniotic sac is not a contraindication to cerclage; rather, the amniotic sac must be decompressed immediately before the procedure. Answer 3 true Rationale 4 After 37 completed weeks' gestation, the suture may be cut and vaginal birth permitted, or the suture may be left in place and a cesarean birth performed. Answer 4 false A 26 -year-old woman who is pregnant with her first child is admitted to the obstetrics unit with a diagnosis of cervical insufficiency. Based up on the patient's diagnosis, how is she most likely to describe her symptoms? Choice 1 "I've been having contractions every four hours." Choice 2 "My cervical pain has gotten much worse over the past two days." Choice 3 "I'm not having any pain, but my contractions are getting stronger." Choice 4 "I'm not having any pain and I don't feel any contractions." hhhCorrect Answers hhhRationale 1 Cervical insufficiency (formerly called incompetent cervix) is painless dilatation of the cervix without contractions due to a structural or functional defect of the cervix. Answer 1 falseThe benefits of buying summaries with Stuvia:
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