A pregnant woman's membranes ruptured prematurely at 34 weeks. ...

[Jipu 123]

A pregnant woman's membranes ruptured prematurely at 34 weeks. She will be discharged to her home for the next few weeks.
 
  What would the nurse planning discharge instruction teach the woman to do?
  a.
  Report any increase in fetal activity.
  b.
  Notify her obstetrician if she has a temperature above 37.8  C (100  F).
  c.
  Massage her breasts to promote uterine relaxation.
  d.
  Rest in a side-lying Trendelenburg position with hips elevated.

Question 2

During a strenuous labor, the woman asks for some pain remedy for the sudden pain between her scapulae that seems to occur with every breath she takes. What is the best nursing action?
 
  a. Give the pain remedy.
  b. Notify the charge nurse immediately.
  c. Turn the patient to her back and flex her knees.
  d. Suggest that the coach give her a back rub.

[catron30]

Answer to Question 1

ANS: B
For the woman with premature rupture of membranes (PROM) who is not having labor induced right away, teaching combines information about infection and preterm labor. The woman should monitor her temperature and report a temperature greater than 37.8  C (100  F).

Answer to Question 2

ANS: B
Sudden pain between the scapulae during a strenuous labor is an indicator of uterine rupture. This should be reported immediately.