A nurse enters a pregnant client’s room just as her membranes rupture with a gush of fluid. Bacterial vaginosis can increase the risk of preterm labor or premature rupture of the membranes. Maintain the client on bed rest if the fetal head is not engaged. Preterm premature rupture of membranes: diagnosis, evaluation and management strategies. The most common assessment finding in a client with abruption placenta is a rigid or boardlike abdomen. If loading fails, click here to try again. This can happen at any gestational age, even full term. Patient may need to remain on bed rest to continue pregnancy if preterm, or labor may be induced. Hypoxia and asphyxia of the woman in labour is a common complication of prolonged PROM. Spell. Many nurses are playing now! What is the priority assessment at this time? Cervical incompetence in combination with PROM can be a cause of umbilical cord prolapse. Flashcards. 1. Gravity. Preterm premature rupture of membranes (PPROM) defined as rupture of membranes prior to the 37th week of gestation complicates approximately 3% of all pregnancies and 25–33% of all preterm births. Record: During the lecture, use the note-taking column to record the lecture using telegraphic sentences. Preterm premature rupture of membranes (PPROM) is when a membrane rupture and leaking of amniotic fluid occurs before 37 weeks of pregnancy. Maternal or intra-amniotic infection and chronic disease, such as systemic lupus erythematosus, direct abdominal trauma, nutritional deficiencies, smoking and placenta abruption all increase the risk of PROM. Basic and effective defense against the fetus contracting an infection is lost and the risk of ascending intrauterine infection, known as chorioamnionitis, is increased. Premature rupture of membranes is not necessarily accompanied by contractions but remains responsible for 30% of premature deliveries. Which of the following increases the risk of placental abruption? The cause of PROM is not known. There were 5 pregnant women participate in this study. The amniotic sac contains fluid that surrounds and protects your unborn baby in your uterus. Multiple pregnancy (twins or more) and a history of previous PROM also indicate an increased risk. Premature Rupture of Membranes (PROM) Nursing Care Plan & Management. Obtain history from patient regarding complications and status of pregnancy. Patient will be free from infection (maternal and fetal); viable birth. Also, the writing of questions sets up a perfect stage for exam-studying later. Learn. PROM is marked by amniotic fluid gushing from the vagina. Complications in the baby may include premature birth, cord compression, and infection. Vaginal exam may be required to confirm diagnosis, but avoid multiple digital vaginal exams to reduce the risk of infection. (Image), 00.01 Nursing Care Plans Course Introduction, 01.03 Using Nursing Care Plans in Clinicals, Nursing Care Plan for Atrial Fibrillation (AFib), Nursing Care Plan for Congenital Heart Defects, Nursing Care Plan for Congestive Heart Failure (CHF), Nursing Care Plan for Gestational Hypertension, Preeclampsia, Eclampsia, Nursing Care Plan for Heart Valve Disorders, Nursing Care Plan for Myocardial Infarction (MI), Nursing Care Plan for Thrombophlebitis / Deep Vein Thrombosis (DVT), Nursing Care Plan for Cleft Lip / Cleft Palate, Nursing Care Plan for Infective Conjunctivitis / Pink Eye, Nursing Care Plan for Otitis Media / Acute Otitis Media (AOM), Nursing Care Plan for Constipation / Encopresis, Nursing Care Plan for Diverticulosis / Diverticulitis, Nursing Care Plan for Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder), Nursing Care Plan for Gastroesophageal Reflux Disease (GERD), Nursing Care Plan for Hyperemesis Gravidarum, Nursing Care Plan for Inflammatory Bowel Disease (Ulcerative Colitis / Crohn’s Disease), Nursing Care Plan for Peptic Ulcer Disease (PUD), Nursing Care Plan for Vomiting / Diarrhea, Nursing Care Plan for GI (Gastrointestinal) Bleed, Nursing Care Plan for Acute Kidney Injury, Nursing Care Plan for Benign Prostatic Hyperplasia (BPH), Nursing Care Plan for Chronic Kidney Disease, Nursing Care Plan for Enuresis / Bedwetting, Nursing Care Plan for Urinary Tract Infection (UTI), Nursing Care Plan for Acquired Immune Deficiency Syndrome (AIDS), Nursing Care Plan for Disseminated Intravascular Coagulation (DIC), Nursing Care Plan for Dehydration & Fever, Nursing Care Plan for Herpes Zoster – Shingles, Nursing Care Plan for Lymphoma (Hodgkin’s, Non-Hodgkin’s), Nursing Care Plan for Skin cancer – Melanoma, Basal Cell Carcinoma, Squamous Cell Carcinoma, Nursing Care Plan for Varicella / Chickenpox, Nursing Care Plan for Burn Injury (First, Second, Third degree), Nursing Care Plan for Eczema (Infantile or Childhood) / Atopic Dermatitis, Nursing Care Plan for Pressure Ulcer / Decubitus Ulcer (Pressure Injury), Nursing Care Plan for Alcohol Withdrawal Syndrome / Delirium Tremens, Nursing Care Plan for Alzheimer’s Disease, Nursing Care Plan for Autism Spectrum Disorder, Nursing Care Plan for Dissociative Disorders, Nursing Care Plan for Generalized Anxiety Disorder, Nursing Care Plan for Mood Disorders (Major Depressive Disorder, Bipolar Disorder), Nursing Care Plan for Personality Disorders, Nursing Care Plan for Post-Traumatic Stress Disorder (PTSD), Nursing Care Plan for Somatic Symptom Disorder (SSD), Nursing Care Plan for Suicidal Behavior Disorder, Nursing Care Plan for Addison’s Disease (Primary Adrenal Insufficiency), Nursing Care Plan for Diabetic Ketoacidosis (DKA), Nursing Care Plan for Diabetes Mellitus (DM), Nursing Care Plan for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS), Nursing Care Plan for Myasthenia Gravis (MG), Nursing Care Plan for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), Nursing Care Plan for Systemic Lupus Erythematosus (SLE), Nursing Care Plan for Cerebral Palsy (CP), Nursing Care Plan for Increased Intracranial Pressure (ICP), Nursing Care Plan for Multiple Sclerosis (MS), Nursing Care Plan for Neural Tube Defect, Spina Bifida, Nursing Care Plan for Parkinson’s Disease, Nursing Care Plan for Abortion, Spontaneous Abortion, Miscarriage, Nursing Care Plan for Abruptio Placentae / Placental abruption, Nursing Care Plan for Bronchiolitis / Respiratory Syncytial Virus (RSV), Nursing Care Plan for Fetal Alcohol Syndrome (FAS), Nursing Care Plan for Hyperbilirubinemia of the Newborn / Infant Jaundice / Neonatal Hyperbilirubinemia, Nursing Care Plan for Meconium Aspiration, Nursing Care Plan for Pediculosis Capitis / Head Lice, Nursing Care Plan for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM), Nursing Care Plan for Phenylketonuria (PKU), Nursing Care Plan for Postpartum Hemorrhage (PPH), Nursing Care Plan for Preterm Labor / Premature Labor, Nursing Care Plan for Acute Respiratory Distress Syndrome, Nursing Care Plan for Asthma / Childhood Asthma, Nursing Care Plan for Bronchoscopy (Procedure), Nursing Care Plan for Chronic Obstructive Pulmonary Disease (COPD), Nursing Care Plan for Pertussis / Whooping Cough, Nursing Care Plan for Pneumothorax/Hemothorax, Nursing Care Plan for Respiratory Failure, Nursing Care Plan for Restrictive Lung Diseases, Nursing Care Plan for Thoracentesis (Procedure), Nursing Care Plan for Gout / Gouty Arthritis, Nursing Care Plan for Rheumatoid Arthritis (RA). The risk of placental abruption is increased 15- to 20-fold if an earlier pregnancy had been complicated by placental abruption.6 Other risk factors include chronic hypertension, cocaine use, preeclampsia, age over 35 years, trauma, thrombophilia, cigarette smoking, preterm premature rupture of membranes, chorioamnionitis, and multiparity. 2005 Mar. Regardless of gestational age, when the membranes rupture, the protective barrier between the vagina and the fetus is lost and increases the risk of maternal and fetal infection. Chorioamnionitis is present 5. This study was a case study design. When membranes rupture before the onset of labor it is called premature rupture of membranes (PROM). Determine maternal and fetal status, including estimated gestational age. When rupture precedes the onset of labor, it is called premature (or pre labor) rupture of membranes Mother states / shows are free of any signs of infection. Continually assess for signs of infection. Once the sac breaks, you have an increased risk for infection. Women usually experience a painless gush or a steady leakage of fluid from the vagina. Chorion and Amniotic Sac This course is going to expand on that for you and show you the most effective way to write a Nursing Care Plan and how to use Nursing Care Plans in the clinical setting. Preterm premature rupture of the membranes (PPROM) is a pregnancy complication. OB Test # 2. If you have an abnormal vaginal discharge when pregnant, contact your health care provider right away. She is admitted to the unit for monitoring. You may feel a gush of warm fluid or a slow trickle of fluid from your vagina. I came up with these but my professor is saying they are wrong. This lesson is part of the NURSING.com Nursing Student Academy. This paper will define preterm premature rupture of membranes, the labs and diagnostic tests to confirm rupture, how this process is clinically treated, the prognosis for those affected by preterm premature rupture of membrane, and a nursing care plan to give a visualization of the care given to a patient with preterm premature rupture of membrane. An AFI <5 cm after preterm premature rupture of the membranes between 24 and 32 weeks' gestation is associated with an increased risk of perinatal infection and a … 2. When you complete this course, you will be able to write and implement powerful and effective Nursing Care Plans. In about 3% of pregnancies, the amniotic membranes break and release amniotic fluid before 37 weeks of amenorrhea (the absence of menstruation). Match. In mothers diagnosed with PPROM without evidence of infection, active labor, or fetal compromise, the current standard of care is expectant management. Dependent Nursing Interventions: Perform vaginal examination, when the contraction pattern repeat, maternal behavior indicates progress. In most cases, this rupture prompts the onset of labor, but it usually requires medical intervention and monitoring. Prom may occur if the uterus is over-stretched by malpresentation of the fetus, multiple pregnancy or excess amniotic fluid. Terms in this set (35) Premature Rupture of Membranes (PROM) is defined as the Spontaneous rupture of membranes that occurs before the onset of labor. 15. I have to come up with 3 NANDA nursing diagnosis and I am having a lot of trouble doing it. Please visit using a browser with javascript enabled. A nurse is caring for a laboring client who experienced PROM over 24 hours ago. Select all that apply. When considering assessment history of a G3 P2 admitted for preterm labor, which risk factor in the woman’s history places her at greatest risk for preterm labor? Which of the following would the nurse Sandra most likely expect to find when assessing a pregnant client with abruption placenta? How do they fit in with what I already know? Repeated vaginal examinations play a role in the incidence of ascending tract infections. Monitor for signs of fetal compromise to include changes in fetal heart rate. PROM may happen just before birth. Premature rupture of membranes (PROM) means your water broke before labor began. The fluid may merely trickle or leak from the vagina in the absence of contractions. Then, looking at the questions or cue-words in the question and cue column only, say aloud, in your own words, the answers to the questions, facts, or ideas indicated by the cue-words. The L & D unit stating “ my water broke ” medical intervention and monitoring 20-36... 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