Test question re: PROM

Specialties Ob/Gyn

Published

I just wanted professional opinions. This one is bothering myself and some classmates. Test question reads: A patient who is at 30 weeks presents to the clinic with PROM. Select the appropriate nursing diagnosis for the patient:

a. Ineffective individual coping

b. Fluid volume, deficient

c. Infection

We have been advised that when taking tests we are not to assume, we should use the information given. I chose ineffective coping because that is listed in the book. The correct answer, according to our instructor, is infection. We advised her we didn't have any indicators of infection (a diagnosis, elevated temp, labs, etc.) and she told us that infection is the most common cause so we should have assumed that was the cause. We told her we would have chosen risk for infection had it been available but she is adamant. And I'm not one of those people who whines every time she gets an answer wrong, and I don't think my instructor is an idiot/jerk/out to get me/Satan. I'm not quite sure WHY this is bothering me, but it is. I'm an LPN bridging to RN so I understand that sometimes answers can be crazy and we have to think outside the box. I think it's the part about how we should assume that bothers me. I don't want rainbows up my skirt, just some rationales. Thanks in advance!

Specializes in Peds, MS, DIDD, Corrections, HH, LTC, School Nurse.

antibiotics increase the time that babies stay in the womb... routine use of antibiotics in PPROM is still recommended... a seven-day course of intravenous ampicillin and erythromycin followed by oral amoxicillin and erythromycin if watchful waiting is attempted before 34 weeks.

Thank you guys, so much. Our instructor let us know soon after the test that she wasn't budging on her decision, which is fine. Since I'm still in school and this semester isn't over I'm still using all of my available resources for knowledge, including allnurses. I appreciate you taking time out of your busy days to help me further understand. 😊

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