The nurse is caring for a patient at 30 weeks' gestation who is ...

[kamilo84]

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:
 
  1. Were having a singleton pregnancy instead of twins, my membranes would probably not have ruptured.
  2. Develop a urinary tract infection in my next pregnancy, I might rupture membranes early again.
  3. Want to become pregnant again, I will have to plan on being on bed rest for the whole pregnancy.
  4. Have bleeding in the third trimester of my next pregnancy, I might rupture membranes again.

Question 2

A client using oral contraceptives tells the nurse that her family is complete, and she now desires permanent contraception. Which statement should the nurse include in teaching this client about sterilization options?
 
  1. Essure becomes effective 3 months after insertion.
  2. Vasectomy is effective immediately after the procedure.
  3. Tubal ligation cannot be performed until the client is age 35.
  4. Oral contraception should be taken until menopause.

[ansleighelindsey]

Answer to Question 1

3
Rationale 1: Multifetal gestation increases the risk for PPROM.
Rationale 2: A UTI increases the risk for PPROM.
Rationale 3: There is no evidence that bed rest in a subsequent pregnancy decreases the risk for PPROM.
Rationale 4: Second- or third-trimester bleeding increases the risk for PPROM.

Answer to Question 2

1
Explanation: 1. The insertion of Essure creates a tissue response that results in tubal occlusion in about 3 months.

[kamilo84]

Thanks for the timely response, appreciate it

[olderstudent]

Gracias!