PROM Flashcards
- spontaneous rupture of the membranes
prior to the onset of labor
PROM
before 37 wks. gestation
PPROM - preterm PROM
risk factors of PROM
- cervicitis
- Hx oF prom
- hydramnios
- multiple pregnancy
- UTI
- amniocentesis
- hx of LEEP
- placenta previa / abruptio placenta
maternal implications for PROM
chorioamnionitis, endometritis, abruptio placenta
fetal-newborn implications
- RDS
- sepsis
- malpresentation
- cord prolapse
- perinatal morbidity/mortality
- fetal anomalies
s/sx of infection
- wbc count
- temp
- pr
- character of amniotic fluid
in assessing a PROM what exam should you never perform?
digital exam
what to assess to check for fetal well being
- fetal HR tracing
- biophysical profile
- gestational age
___ exams are not done unless
absolutely necessary
vaginal
always rest on the ___ side, do comfort measures
left
increased temp = ??
maintain hydration
increased FHR = ??
infection
what color of discharge should you WOF
cloudy or yellow appearance
management if < 37 weeks
conservative (non invasive)
during 34 weeks what do you check with the fetus?
fetal lung maturity studies
what is given to improve fetal lung development prior to 30-32 weeks gestation and no intra-amniotic infection
betamethasone
(+) strep B = ??
penicillin or ampicillin IV
For mature fetus with (-) labor = ??
administer oxytocin
if mother is (+) for infection:
- antibiotic therapy
- fetus can be born thru NSD or CS
- prophylactic antibiotics for the first 48 hrs
- assessed for sepsis
avoid ___ with preterm gestation
breast stimulation
true or false - with PROM you can bathe in the tub
false - avoid tub bathing
