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Book 2 Unit 8

Select the one best answer to each question (unless otherwise instructed). Record your answers on the test.
Which of the following complications are associated with prelabor rupture of mem­ branes (PROM)?
   
Yes No
 
 
 
 
If the amniotic fluid is foul smelling and maternal fever is pres­ent, you should begin treatment for intra-amniotic infection.
Rupture of membranes for 18 hours or longer increases the risk of neonatal infection for preterm babies but not for term babies .
Intra-amniotic infection can occur only after the membranes have ruptured.
When intra-amniotic infection develops in a preterm gestation, the early use of intravenous antibiotics usually allows the pregnancy to continue for at least another 1 to 2 weeks.
Intra-amniotic infection increases the risk for postpartum endometritis
PROM has occurred at 32 weeks of gestation. There are no signs or symptoms of labor or infection, and the fetal heart pattern is reactive. For which of the following reasons should a sterile speculum examination be performed?
   
Yes No
 
 
 
 
A woman has PROM at 38 weeks of gestation , with foul-smelling amniotic fluid, maternal fever of 38.6°C (101.5°F), tender uterus, and fetal tachycardia. There is no other evidence of fetal distress; presentation is vertex. You should begin intravenous antibiotics and
Which of the following actions may be appropriate for the management of preterm PROM at 30 weeks of gestation when a woman is not in labor and there are no signs of infection?
   
Yes No
 
 
 
 
 
 
When a woman is treated for intra-amniotic infection during labor, intravenous antibiotic therapy should be continued for 10 to 14 days after she becomes afebrile.
In the presence of asymptomatic maternal colonization with group B 13-hemolytic streptococcus, there is no reason to use prophylactic antibiotics during labor.
Neonatal sepsis can follow PROM, even if the woman showed no sign of illness.