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    RN Comprehensive Predictor 2026 Proctored Exam V2

    A nurse is caring for a client who is at 37 weeks of gestation and experiences a spontaneous rupture of membranes before labor has begun. Which of the following actions should the nurse take?

    Explanation & Rationale

    Premature rupture of membranes (PROM) at term (37 weeks) increases the risk of chorioamnionitis (intrauterine infection). Monitoring temperature every 2 hr is essential to detect early signs of infection. Magnesium sulfate is given for neuroprotection or to prevent seizures in preeclampsia — not indicated here. Fetal heart rate should be monitored continuously, not just every 4 hr, following ROM. Betamethasone accelerates fetal lung maturity and is given before 34 weeks — not at 37 weeks.

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