- PROM: women beyond 37 weeks gestation
- PPROM: women less than 37 weeks
- puts u more at risk to have problem
nursing manage- reason for rupture, FHR, always a risk for cord collapse, color of fluid tells story, babies should not poop in utero could mean the baby is stressed.
Depending on gestation age, no unsterile exam until active labor, fetal has immature lungs
nursing assessment: risk factors signs and symptoms of labor, electronic FHR monitoring, amniotic fluid charasteristics- nitrazine paper (turn blue ph), fern test (take fluid and put under slide looks like a fern plate, u/s (risk to go into premature labor)
baby comes 1st
MD should be doing this...