West Coast University, Orange County Study Guide NURSING 306 Chapter 7 DURHAM: High Risk Antepartum Nursing Care

West Coast University, Orange County Study Guide NURSING 306 Chapter 7 DURHAM: High Risk Antepartum Nursing Care Week 5 Pre WORK • Due @ 2359 on Sunday, Week 5 • Upload your copy under Journal Week 5 for Week 5 Pre work • Complete ATI N306F5 Practice Assessment and attach the report with a minimum score of 76%, with your prework Chapter 7 DURHAM: High Risk Antepartum Nursing Care Handwrite or type Define and explain: Medical management Nursing Actions/Interventions Patient education • PROM p 140 o Prolong rupture of membrane o Greater than 24 hours o Risk Factors for preterm PROM ▪ Previous preterm PROM or preterm delivery ▪ Bleeding during pregnancy ▪ Hydramnios ▪ Multiple gestation (up to 15% in twins, up to 20% in triples) ▪ Sexually transmitted infections (STIs) ▪ Cigarette smoking o Risk for the Woman ▪ Maternal infections (ex: chorioamnionitis) ▪ Preterm labor and birth ▪ Increase rates of cesarean birth o Risk for the Fetus and Newborn ▪ Fetal or neonatal sepsis • The earlier the fetal gestation at ROM, the greater the risk for infection • The membranes serve as a protective barrier that separates the sterile fetus and fluid from the bacteria-laden vaginal canal ▪ Preterm delivery and complications of prematurity ▪ Hypoxia or asphyxia because of umbilical cord compression due to decreased fluid ▪ Fetal deformities if preterm PROM before 26 weeks’ gestation o Assessment Findings ▪ Confirmed premature gestational age by prenatal history and ultrasound ▪ Confirmed rupture of membranes with