A woman is 30 weeks pregnant. She has come to the hospital because her membranes have ruptured spontaneously. The Labor and Delivery nurse explains what will be done for the client and her fetus. Which statement should the nurse include?
1. "We will give you medication to help the baby's lungs mature."
2. "Infection is not an issue, but we'll monitor you for infection."
3. "An IV will be started to increase your intravascular fluid volume."
4. "Since you are coping fine, we'll transfer you to the high-risk floor."
1
Rationale:
1. Because of the rupture of membranes and the preterm status, an attempt will be made to mature the fetal lungs and maintain the pregnancy for as long as possible.
2. Prolonged rupture of membranes carries an increased risk of infection. The membranes of this patient have just ruptured so therefore the risk is less and not the priority.
3. This client is not at risk for fluid volume deficit.
4. There is not enough information to determine how she is coping.
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