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A Client Who Had Premature Rupture of the Membranes (PROM)

question 67

Multiple Choice

A client who had premature rupture of the membranes (PROM) earlier in the pregnancy at 28 weeks returns to the labor unit 1 week later complaining that she is now in labor. The labor and birth nurse performs the following assessments. The vaginal exam is deferred until the physician is in attendance. The client is placed on electronic fetal monitoring (EFM) and a baseline FHR of 130 bpm is noted. No contraction pattern is observed. The client is then transferred to the antepartum unit for continued observation. Several hours later, the client complains that she does not feel the baby move. Examination of the abdomen reveals a fundal height of 34 cm. Muscle tone is no different from earlier in the hospital admission. The client is placed on the EFM and no fetal heart tones are observed. What does the nurse suspect is occurring?

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Definitions:

Sensory Neurons

Nerve cells that transmit sensory information (sight, sound, touch, etc.) to the central nervous system.

Motor Neurons

Nerve cells forming part of the pathway along which impulses pass from the brain or spinal cord to a muscle or gland, facilitating movement and action.

Synaptic Neurons

Neurons that are capable of transmitting a nerve impulse across a synapse to a postsynaptic element, such as another nerve, muscle, or gland.

Efferent Neurons

Nerve cells that carry neural impulses away from the central nervous system toward muscles to cause movement, also known as motor neurons.

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