ROM Flashcards
1
Q
HPI
A
"sudden gush of fluids from vagina" "water running down the legs" \+ cnx vag spotting
2
Q
common changes in pregnancy mistaken for ROM
A
increased vaginal discharge
slight wetness to underwear
urinary incontinence
3
Q
ROM SSE
A
- pooling
- cervical dilation, lesions, bleeding
- GBS
- swab for ferning
- nitrazine test
4
Q
nitrazine test
A
pH > 6.5 c/w ROM false pos with: - blood - semen - BV
5
Q
ROM SDE
A
if >34w and planned delivery, need to check cervix for IOL or labor aug
do NOT perform intracervical digital exam if:
- <34 w if susp ROM
- repeat exams
6
Q
ROM US
A
- AFI
(oligo sugg ROM) - if no PRN, fetal biometry
(EFW erroneous if oligo)
7
Q
ROM dispo
A
- admit
- start IOL if >=34 w
8
Q
negative ROM workup dispo
A
- *d/c if:
- reassuring FHT
- no evidence PTL
- neg ROM workup
- *counsel pt on PTL
- *f/u closely
