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PROM Management and Care Name Institution PROM Management and Care PROM refers to a patient whose membranes rapture before 37 weeks of pregnancy. After thirty weeks of pregnancy such a patient is referred to as PPROM. PROM is a major contributor to perinatal mortality and morbidity in the US (Medina & Ashley, 2006).
Black patients are at a higher risk of contracting preterm PROM when compared to the white patients (Medina & Ashley, 2006). A history of smoking, STDs, vaginal infection, preterm delivery, vaginal bleeding are all predisposing factors to preterm PROM. PROM has been noted to have no single etiology associated with it (Medina & Ashley, 2006). A good nursing care plan involves the evaluation and assessment of the patient. With a medical diagnosis of PROM and a nursing diagnosis of risk of infection associated with protective barrier loss, the patient requires a robust nursing care plan. The first step is to assess the patient. In order to determine the fetal gestational age, the nurse inquires from the patient, her last menstrual cycle date. Any prenatal record is to be reviewed to identify if there has been any pregnancy problems e.g. hypertension, bleeding, gestational diabetes, illnesses, trauma, and premature labor. It is important that the patient describes the circumstances that led to the PROM. This would enable the nurse to determine the time when the rupture occurred as well as gather other important information. For example, amount and color of the fluid and any odor of fluid if present. It is also important to inquire from the patient whether she has suffered from any pelvic, vaginal or urinary tract infections. ...
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