Maternity Nursing Q 201

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When PROM occurs, which of the following provides evidence of the nurse’s understanding of the client’s immediate needs?

  

     A. The chorion and amnion rupture 4 hours before the onset of labor.

     B. PROM removes the fetus's most effective defense against infection.

     C. Nursing care is based on fetal viability and gestational age.

     D. PROM is associated with malpresentation and possibly incompetent cervix.

    

    

Correct Answer: B. PROM removes the fetus most effective defense against infection

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PROM can precipitate many potential and actual problems; one of the most serious is the fetus loss of an effective defense against infection. This is the client’s most immediate need at this time.

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Option A: Typically, PROM occurs about 1 hour, not 4 hours, before labor begins.

Option C: Fetal viability and gestational age are less immediate considerations that affect the plan of care.

Option D: Malpresentation and an incompetent cervix may be causes of PROM.

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