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PROM
Premature Rupture of Membranes
Question | Answer |
---|---|
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 |
S/S of PROM | leakage or sudden gush of fluid from the vagina |
Maternal Risk factors of PROM | Chorioamnionitis *** Endometritis retained placenta and hemorrhage maternal sepsis maternal death |
Chorioamnionitis: | fever, heavy or foul smelling vag discharge, abdominal pain, & fetal tachycardia |
Endometritis | postpartum infection of the endometrium |
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 |
Medications used if patient is ruptured | Antibiotics if infection is present corticosteroids- promotes fetal lung maturity & helps prevent RDS |
Top Priority | Safety prevention of infection |
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 |