Author Question: What is the immediate concern when a client's membranes rupture spontaneously prior to fetal ... (Read 63 times)

Tirant22 · **on:** Jul 22, 2018

What is the immediate concern when a client's membranes rupture spontaneously prior to fetal engagement?

a. a dry and painful birth c. development of a vaginal infection
b. development of a fetal infection d. prolapsed umbilical cord

Question 2

The nurse is aware that the enteral tube feedings are contradicted in clients with which of the following? (Select all that apply.)

a. severe diarrhea d. severe pancreatitis
b. intestinal obstruction e. GI ischemia
c. peritonitis f. paralytic ileus

ngr69 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
Rupture of membranes usually occurs after labor has begun but can occur before the onset of labor. If labor does not begin spontaneously within 12 to 24 hours after rupture, labor may be induced to avoid infection. If engagement has not occurred, there is an increased risk of prolapsed cord. Nitrazine paper can confirm that the rupture is producing amniotic fluid.

Answer to Question 2

A, B, C, F
Enteral tube feedings are contradicted in clients with severe diarrhea, intestinal obstruction, peritonitis, paralytic ileus, and intractable vomiting. It should be used with caution in clients with severe pancreatitis, GI ischemia, and enterocutaneous fistula.