PROM, preterm labor, post-term labor

define PROM

ROM before labor starts at/>37 weeks

define PPROM

water breaks before labor and < 37 weeks

with PPROM the greatest risk to the newborn is birth before what weeks

32-34 weeks

reduced fetal lung volume, umbilical cord compression, and prolapsed cord can result from

low levels of amniotic fluid

management of PROM depends on

gestational age and if labor has started

if possible the HCP will try to delay labor if there has been PROM so that __________ can be administered

corticosteroids

daily non-stress tests, biophysical profiles, fetal lung maturity testing, maternal temp + abx will all be monitored/given during

conservative management of PROM

with home management of ROM what 4 kinds of stimulation should be avoided

intercourse, orgasm, breast, vaginal

for home management of PROM maternal temperature should be take ___ times a day and a temp above ______ should be reported immediately

4; 100

define preterm labor

labor > 20 weeks but < 37 weeks

cerebral palsy, developmental delay, vision/hearing impairment are all possible results of

preterm labor

uterine overdistention, endometrium activation, premature release of hormones, and inflammation/infection of the decidua, fetal membranes and amniotic fluid are all risk factors for

preterm labor

what is the name of the swab test that helps predict preterm labor risk

fetal fibronectin test

cervical length, infections and a hx of PPROM are all factors used to predict

PROM

what 3 medications would be given to a mom who is having preterm labor (aside from tocolytics)

corticosteroids, abx, mag sulfate

what does mag sulfate do in preterm labor

fetal neuroprotection

mag sulfate is what kind of med

CNS depressant

what med is the antidote for mag sulfate toxicity

calcium gluconate

what are two major maternal effects from mag sulfate

pulmonary edema and cardiac arrest

what are two important S/S of maternal mag sulfate toxicity

resp < 12, urine output < 30ml/hour

what are three examples of prostaglandin synthesis inhibitors

indomethacin, naproxen, fenoprofen

prostaglandin synthesis inhibitors can delay delivery for

48+ hours

prostaglandin synthesis inhibitors are what kinds of medications

NSAIDs

prostaglandin synthesis inhibitors are used for pregnancies < than

32 weeks

what are two important important maternal effects of prostaglandin synthesis inhibitors

pulmonary edema and PPH

what are possible fetal effects of prostaglandin synthesis inhibitors

constriction of ductus arteriosis and NEC

what medication should NOT be given with mag sulfate

Nifedipine Nicardipine

what medication should NOT be given with terbutaline

Nifedipine Nicardipine

Nifedipine Nicardipine can cause what maternal effect

pulmonary edema

terbutaline can cause what maternal effects

pulmonary edema, increase in maternal BG

what are some examples of antenatal corticosteroids

betamethasone, dexamethasone

antenatal cortico steroids reduce the risk/severity of what two things in preterm infants

RDS and brain bleeds

what is the contraindication for antenatal corticosteroids

active infection

define post-term pregnancy

pregnancy > 42 weeks

what are the two major risks if the pregnancy is > 42 weeks

placental insufficiency and meconium aspiration syndrome

placental insufficiency increases the risk for what two complications

IUGR and stillbirth