Health Promotion & Maintenance: Premature Rupture Of Membranes (PROM)

Premature rupture of membranes (PROM) is a _______ break in the amniotic sac __________ the ____________ of contractions.

Spontaneous, before, onset

Usually labor stars w/in ________ hours of rupture of membranes

24

What is the danger w/ PROM?

Infection

How would you tell if the woman w/ PROM had an infection?

Maternal fever, fetal tachycardia, foul smelling vaginal discharge

To test for amniotic fluid the nurse should check the ________ of the fluid

pH

Amniotic fluid is (acidic/alkaline)

Alkaline

Being alkaline means having a (high/low) pH?

High

Amniotic fluid turns nitrazine paper deep ____________ (color).

Blue

When PROM occurs, the age of the fetus must be determined. The best way to assess lung maturity to check the ____ ratio.

L/S (lecithin/sphingomyelin)

An L/S ratio greater than ________ indicates lung maturity.

2

If a labor does not begin w/in ______________ hours after PROM, labor will be induced.

24

If PROM occurs before viability, what is the typical management?

Termination of pregnancy

If PROM occurs after viability but before 36 weeks, what is the typical management?

Hospitalize, watch for infection, try to gain time for the infant to mature

If there are any signs of infection after PROM, what must occur immediately?

Delivery of the fetus

PROM always occur in a gush of fluid. (T/F)

FALSE

The woman must avoid sexual intercourse if PROM has occurred. (T/F)?

TRUE