In developing a plan of care for a client who has ruptured ...

[dakota nelson]

In developing a plan of care for a client who has ruptured membranes for 24 hours, the nurse recognizes that it is essential to consider her increased risk of
 
  a. hemorrhage c. supine hypotension
  b. precipitous labor d. chorioamnionitis

Question 2

A child with meningococcemia is being admitted to the pediatric intensive care unit. This child should be placed in a:
 
  1. Semi-private room.
  2. Private room, but not in isolation.
  3. Private room, in protective isolation.
  4. Private room, in respiratory isolation.

[Ksanderson1296]

Answer to Question 1

D
The longer the fetal membranes have been ruptured, the greater the risk of chorioamnionitis,
which is infection of the fetal membranes. Normally intact membranes protect the fetus from external microorganisms; infection is a risk factor if the membranes are ruptured for 24 hours or more prior to delivery. Hemorrhage does not occur as a result of membranes rupturing 24 hours prior to delivery. Precipitous labor occurs shortly after the membranes rupture. Supine hypotension is related to the mother's position during labor.

Answer to Question 2

4
Rationale:
1. Meningococcemia follows an infection with Neisseria meningitidis. N. meningitidis is transmitted through airborne droplets, so the child should be placed in a private room in respiratory isolation. A private room with protective isolation (child is essentially kept in a bubble) would not be appropriate.
2. Meningococcemia follows an infection with Neisseria meningitidis. N. meningitidis is transmitted through airborne droplets, so the child should be placed in a private room in respiratory isolation. A private room with protective isolation (child is essentially kept in a bubble) would not be appropriate.
3. Meningococcemia follows an infection with Neisseria meningitidis. N. meningitidis is transmitted through airborne droplets, so the child should be placed in a private room in respiratory isolation. A private room with protective isolation (child is essentially kept in a bubble) would not be appropriate.
4. Meningococcemia follows an infection with Neisseria meningitidis. N. meningitidis is transmitted through airborne droplets, so the child should be placed in a private room in respiratory isolation. A private room with protective isolation (child is essentially kept in a bubble) would not be appropriate.

[dakota nelson]

TYSM

[aruss1303]

Excellent