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Practice Question

A nurse is caring for a client who is in labor.

Answer Choices:

Rationale:

🟢 Chorioamnionitis is an infection of the amniotic sac and is commonly associated with prolonged rupture of membranes exceeding 18 hours.

🟢 This client has had clear leakage for 12 hours, increasing the risk of ascending bacterial infection from the vaginal canal.

🟢 The presence of a temporal headache, although mild, should be monitored as it may indicate the early stages of infection or inflammation.

🟢 Diagnosis is supported by a positive nitrazine test and ferning, which confirms ruptured membranes.

🟢 Nurses must remain vigilant for signs of infection such as maternal fever, uterine tenderness, and foul-smelling discharge.

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This question is from Custom: NUR 2463 Exam #2 which contains 20 questions.

More Questions from This Exam
A nurse is admitting a client who is at 37 weeks of gestation and has severe gestational hypertension. Which of the following actions should the nurse expect to implement? (Select all that apply.)

Answer Choices:

A. Provide a dark, quiet environment.
B. Administer magnesium sulfate IV.
C. Assess respiratory status every 4 hr.
D. Evaluate neurologic status every 8 hr.
E. Ensure that calcium gluconate is readily available.
From Exam
Custom: NUR 2463 Exam #2

20 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN Custom Exam(s)
  • Answer Choices: 0
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