Practice Question
A nurse is admitting a client at 33 weeks’ gestation who experienced PPROM 4 hours ago. The client is asking when her next vaginal exam will be since her first exam revealed she is 2 cm dilated. Which of the following reasons does the nurse explain for not performing another vaginal exam?
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Correct Answer:
Increases risk for infection.
Rationale:
👌 In clients with Preterm Premature Rupture of Membranes (PPROM), repeated vaginal exams are strictly limited because they significantly increase the risk of ascending bacterial infection.
👌 The cervix is already compromised, and every exam introduces external flora into the uterine cavity, especially after amniotic sac rupture.
👌 The major complication of PPROM is chorioamnionitis, which can lead to preterm birth, neonatal sepsis, and uterine infection.
👌 Once the initial vaginal exam confirms cervical dilation, further assessment is performed via non-invasive methods (e.g., sterile speculum exams or ultrasound).
👌 The nurse should educate the client that protecting the intrauterine environment from infection takes precedence over frequent checks.
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This question is from RN ATI Maternity Quiz (Moitiso) which contains 31 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4