The nurse is caring for a client at 30 weeks' gestation who is experiencing preterm premature rupture of membranes (PPROM). Which statement indicates that the client needs additional teaching?
1. "If I have bleeding in the third trimester of my next pregnancy, I might rupture membranes again."
2. "If I want to become pregnant again, I will have to plan on being on bed rest for the whole pregnancy."
3. "If I develop a urinary tract infection in my next pregnancy, I might rupture membranes early again."
4. "If I were having a singleton pregnancy instead of twins, my membranes would probably not have ruptured."
2
Explanation:
1. Second- and third-trimester bleeding increases the risk for PPROM.
2. There is no evidence indicating that bed rest in a subsequent pregnancy decreases the risk for PPROM.
3. A urinary tract infection (UTI) increases the risk for PPROM.
4. Multifetal gestation increases the risk for PPROM.
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