PROM is marked by amniotic fluid gushing from the vagina. Client will be free of infection as evidenced by: Maternal temperature remains WNL during labor and fetal heart rate remains between 120 and 160. If the patients immune system cannot battle the invading microorganism sufficiently, an infection occurs. 98.7, O2 Sat 98% on RA, RR 18. Labor or waters breaking (rupture of membranes) before 37 weeks (preterm) Rupture of membranes 18 hours or longer before delivery of a full-term pregnancy . These are behaviors necessary to prevent the spread of infection. All reflexes are checked and are intact. Educate the patient and carer about proper wound hygiene through washing the rash with soap and water. Evidence suggests that prolonged latency may increase the risk of intra-amniotic infection. Desired Outcome: The patient will prevent spread of infection to the rest of the body, as well as cross-contamination to other people by following treatment regimen for varicella infection. We may earn a small commission from your purchase. Elevated temperature.Fever is often the first sign of an infection. 8 Neonatal Sepsis Nursing Care Plans - Nurseslabs Long fingernails tend to contain more bacteria. Limited data are available to help determine whether tocolytic therapy is indicated after preterm PROM. Use masks respiratory infection is transmitted through contact with contaminated articles or droplets when the patient sneezes or coughs. 17. ncp--infection.docx - Name of the Patient Medical Diagnosis Monitor white blood cell (WBC) count. PPROM accounts for 25% of all cases of premature rupture of the membranes and is responsible for 30%-40% of all preterm deliveries. Your provider will carefully weigh these risks before making a decision. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.midwife.org/acnm/files/ACNMLibraryData/UPLOADFILENAME/000000000233/PS-Prelabor-rupture-of-membranes-FINAL-22-MAR-18.pdf), (https://www.ncbi.nlm.nih.gov/books/NBK532888/). This is premature or prelabor rupture of membranes (PROM). Your pregnancy care provider diagnoses PROM with a sterile speculum exam. Premature birth is when your baby is born before 37 weeks of pregnancy. Cough or expectorate onto a tissue and dispose of after use. Nitrazine paper measures the pH (a measure of how acidic something is) of your vagina. If it occurs before 37 weeks of pregnancy (preterm PROM), your provider must weigh the risks of premature birth with the risk of complications such as infection and umbilical cord compression. As described above, corticosteroids and antibiotics are beneficial when administered to patients with preterm PROM, but no studies of these therapies combined with tocolysis are available.

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