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? "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 bedrest for the whole pregnancy."
4. "Have bleeding in the third trimester of my next pregnancy, I might rupture membranes again."
3
Rationale:
1. Multifetal gestation increases the risk for PPROM.
2. A UTI increases the risk for PPROM.
3. There is no evidence indicating that bedrest in a subsequent pregnancy decreases the risk for PPROM.
4. Second- and third-trimester bleeding increases the risk for PPROM.
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Fill in the blank(s) with the appropriate word(s).