Premature Rupture of Membranes
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| How to test for PROM (Premature Rupture of Membranes)? | sterile speculum exam to detect the presence of amniotic fluid
Nitrazine paper turns deep blue when amniotic fluid is present
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| S/S of PROM | leakage or sudden gush of fluid from the vagina
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| Maternal Risk factors of PROM | Chorioamnionitis ***
Endometritis
retained placenta and hemorrhage
maternal sepsis
maternal death
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| Chorioamnionitis: | fever, heavy or foul smelling vag discharge, abdominal pain, & fetal tachycardia
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| Endometritis | postpartum infection of the endometrium
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| Fetal/ neonatal risk factors | Respiratory distress syndrome with PPROM
Fetal sepsis***
malpresentation
prolapse of cord
bad FHR tracings
Premature birth
Increased perinatal morbidity and mortality
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| Medications used if patient is ruptured | Antibiotics if infection is present
corticosteroids- promotes fetal lung maturity & helps prevent RDS
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| Top Priority | Safety
prevention of infection
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| Top nursing interventions | Monitor for & report signs of infection
Evaluate uterine activity and fetal response to labor
Encourage rest on her side to promote uteroplacental perfusion
Ensure hydration is maintained
educate
psychological support
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Created by:
Jaycee420
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