(2008). Nursing Care Plan for Premature Rupture of the Membranes Patient: Mrs. Anna Care Plan By: Date Initiated: April 21, 2021 Case Study: Mrs. Anna is a 24-year-old pregnant patient that went to the Labor and Delivery triage area complaining, saying "I felt a sudden gush of water and I constantly feel wet". Signs and symptoms include localized swelling, localized redness, pain or tenderness, loss of function in the affected area, palpable heat. Methylin blue dye should not be used because it has been associated with hyperbilirubinemia and hemolytic anemia in infants.20 Even when ultrasonography is not necessary to confirm PROM, it may help determine the position of the fetus, placental location, estimated fetal weight, and presence of any anomalies. Nursing care of the patient with preterm premature rupture of membranes A meta-analysis2 showed that patients receiving antibiotics after preterm PROM, compared with those not receiving antibiotics experienced reduced postpartum endometritis, chorioamnionitis, neonatal sepsis, neonatal pneumonia, and intraventricular hemorrhage. Proper hygiene promotes wellness and prevents further infection. Additionally, WBC differential may show an increase and decrease in certain infections. Yes, the fetus can survive if your water breaks too soon. 3.2. Chorioamnionitis is an infection of the placenta and the amniotic fluid. Premature rupture of membranes (PROM) is when you leak amniotic fluid before labor begins. Otherwise, scroll down to view this completed care plan. According to the patients last menstrual period she is indeed 37 weeks along. When the patient touches other people or objects with infected hands, the infection will likely spread. 22. Premature Rupture of Membranes (PROM) Nursing Care Plan & Management, Maternal and Child Health Nursing (NCLEX Exams), Medical and Surgical Nursing (NCLEX Exams), Pharmacology and Drug Calculation (NCLEX Exams), Ectopic Pregnancy Nursing Care Management, Large-for-Gestational Age (LGA) Newborn Nursing Care Plan & Management, Early Postpartum Hemorrhage Nursing Care Plan & Management, Rheumatic Fever Nursing Care Plan & Management, Hyperemesis Gravidarum Nursing Care Plan & Management, Perform initial vaginal examination, when the contraction. Nursing Care Plans for Risk for Infection, Nursing Assessment for Risk for Infection, Nursing Interventions for Risk for Infection, All-in-One Nursing Care Planning Resource E-Book: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health, Nursing Care Plans (NCP): Ultimate Guide and Database, Nursing Diagnosis Guide and List: All You Need to Know to Master Diagnosing, Role of hand hygiene in healthcare-associated infection prevention, Removal of nail polish and finger rings to prevent surgical infection, Advising patients to increase fluid intake for treating acute respiratory infections, Hand washing: a modest measurewith big effects, The bidirectional relationship between sleep and immunity against infections, Oxidative stress in infection and consequent disease. PPROM occurs in about 3% of pregnancies. Educating the patient about the disease can raise confidence and understanding of the importance of sticking to the guidelines. Berman, A., Snyder, S. J., Kozier, B., Erb, G. L., Levett-Jones, T., Dwyer, T., & Parker, B. Your provider may induce labor with medications or allow your labor to progress on its own. Infections occur when the natural defense mechanisms of an individual are inadequate to protect them. The formatting isnt always important, and care plan formatting may vary among different nursing schools or medical jobs. It can include people, animals, soil, or any substance. American College of Obstetricians and Gynecologists. A good understanding of the chain of infection helps in the early diagnosis and prevention of infection. Friction and running water effectively remove microorganisms from hands. Other recommended site resources for this nursing care plan: Recommended resources and reading materials for risk for infection nursing diagnosis and care plan: Thank you very much for this page. Assessment Findings 1. Tips to help you get the most from a visit to your healthcare provider: SEE ALSO: Nursing Diagnosis Complete List and Guide . Additionally, without the protection of amniotic fluid and the amniotic sac, the fetus and your uterus are at risk for infection. Risk for infection related to loss of protective barrier as evidence by positive ferns test. A., & Taylor, R. (2001). Handwashing is the best way to break the chain of infection. In the absence of intra-amniotic infection, the physician should attempt to prolong the pregnancy until 34 weeks gestation. This reduces or eliminates germs. The human immune system is crucial for survival in a world full of potentially deadly and harmful microbes. Your pregnancy care provider diagnoses PROM with a sterile speculum exam. {`!lC[OW|W9XgVibMaAp\Qx- Vaginal fluid has a lower pH than amniotic fluid. Varicella infection is generally treated using antiviral therapy. We and our partners use cookies to Store and/or access information on a device. It involves collecting a fluid sample and looking at it under a microscope. Risk for Infection is related to the increased susceptibility to infection. Some babies still get GBS even with testing and treatment. 12. To treat the underlying infection with broad spectrum antibiotics, then switch with the type of antibiotics to which the causative bacteria are sensitive. For instance, shorter sleep durations are associated with a rise in suffering from the common cold. During pregnancy, a fluid-filled sac called the amniotic sac surrounds and protects the fetus. We do not endorse non-Cleveland Clinic products or services. A temperature of up to 38 C (100.4 F) 48 hours post-op is usually related to surgical stress after 48 hours. There are two purposes in isolating a person with tuberculosis: protect the patient and protect others. 217: Prelabor Rupture of Membranes. These data were collected via a 14 county, 23 hospital population based Perinatal Data System. Giving antibiotics to patients with preterm PROM can reduce neonatal infections and prolong the latent period.
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