The Pregnant Client with Premature Rupture of the Membranes

A primigravid client at 36 weeks' gestation with premature rupture of the membranes is to be discharged home on bed rest with follow-up by the home health nurse. After instruction about care while at home, which of the following client state- ments indicates effective teaching?

"I should contact the doctor if my temperature is 100.4° F or higher."

A multigravid client at 34 weeks' gestation visits the hospital because she suspects that her water has broken. After testing the leaking fl uid with nitrazine paper, the nurse confirms that the client's membranes have ruptured when the paper turns which of the following colors?

Blue.

A primigravid client at 34 weeks' gestation is experiencing contractions every 3 to 4 minutes lasting for 35 seconds. Her cervix is 2 cm dilated and 50% effaced. While the nurse is assessing the client's vital signs, the client says, "I think my bag of water just broke." Which of the following would the nurse do first?

Check the status of the fetal heart rate.

A multigravid client at 34 weeks' gestation with premature rupture of the membranes tests positive for group B streptococcus. The client is having contractions every 4 to 6 minutes. Her vital signs are as follows: blood pressure, 120/80 mm Hg; tempera ture, 100° F (37.8° C); pulse, 100 bpm; respirations, 8 breaths/minute. Which of the following would the nurse expect the physician to order?

Intravenous penicillin.

A primigravid client at 30 weeks' gestation has been admitted to the hospital with premature rupture of the membranes without contractions. Her cervix is 2 cm dilated and 50% effaced. The nurse should next assess the client's:

Temperature.

The nurse is planning care for a multigravid client hospitalized at 36 weeks' gestation with confi rmed rupture of membranes and no evidence of labor. Which of the following would the nurse expect the physician to order?

Vaginal culture for Neisseria gonorrhoeae.