West Coast University, Orange County Study Guide N
West Coast University, Orange County Study Guide N
Exam (elaborations)
West Coast University, Orange County Study Guide NURSING 306 Chapter 7 DURHAM: High Risk Antepartum Nursing Care
1 view 0 purchase
Course
West Coast University, Orange County Study Guide N
Institution
West Coast University, Orange County Study Guide N
West Coast University, Orange County Study Guide NURSING 306 Chapter 7 DURHAM: High Risk Antepartum Nursing Care• 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 ...
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
Written for
West Coast University, Orange County Study Guide N
All documents for this subject (2)
Seller
Follow
10SALES
Reviews received
Content preview
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
W e s t C o a s t U n i Wv eer ssti t CW
y oeCsatosCtuo raUss tneUi vnS ievy erl rlssaii t y Page 1
tb yu s Page 1 06-2019
Revision Date: 1-8-16M e e ti n 1-
, ▪ Confirmed rupture of membranes with speculum exam and positive ferning test
▪ Oligohydramnios on ultrasound may be seen but is not diagnostic
o Medical Management
W e s t C o a s t U n i Wv eer ssti t CW
y oeCsatosCtuo raUss tneUi vnS ievy erl rlssaii t y Page 1
tb yu s Page 1 06-2019
Revision Date: 1-8-16M e e ti n 1-
, Week 5 Pre
WORK ▪ Pt with PROM between 34-36 wks should be managed as if they were term
with induction of labor and treatment for group B streptococcal prophylaxis
recommended
▪ Pt with PROM before 32 weeks of gestation should be cared for expectantly
until 33 completed weeks of gestational if no maternal or fetal
contraindications exist.
▪ All women with preterm PROM and viable fetus, GBS-should receive
intrapartum chemoprophylaxis to prevent vertical transmission of group
B streptococci
▪ Corticosteriods should be administered to women with preterm PROM
before 32 weeks of gestation tor reduce risk of RDS, perinatal mortality, and
other morbidities
▪ Delivery is recommended when preterm PROM occurs at or beyond 34 weeks
of gestation
▪ With preterm PROM at 32-33 completed weeks of gestation labor
induction may be considered if fetal pulmonary maturity has been
documented
▪ Digital cervical exam should be avoided in pt with PROM unless they are
in active labor or imminent delivery
▪ Monitor for infection, labor, and fetal compromise
▪ Assess for fetal lung maturity with LS ratio/ phosphatidyl glycerol (PG)
▪ Administer prophylactic antibiotic therapy to reduce maternal and
fetal infection
▪ Antibiotic prophylactic therapy
o Nursing Actions
▪ Assess FHR and uterine contractions
▪ Assess for signs of infection
• Tachycardia
• Fever > 100.4 F or 38C
• Uterine tenderness
• Malodorous fluid or vaginal discharge
▪ Monitor for labor and for fetal compromise
▪ Provide antenatal testing including non stress test (NST) and (BPP)
• PPROM p140
o Preterm premature rupture of membranes
o Rupture of membrane with a premature gestation <37 weeks
• Pregestational Diabetes p147
o Women with preexisting pregestational diabetes have a fivefold increase in the
incidence of major fetal anomalies of the heart and central nervous system
(CNS)
o Risk for the woman
▪ Hypoglycemia or hyperglycemia
W e s t C o a s t U n i Wv eer ssti t CW
y oeCsatosCtuo raUss tneUi vnS ievy erl rlssaii t y Page 1
tb yu s Page 1 06-2019
Revision Date: 1-8-16M e e ti n 1-
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller 10SALES. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.00. You're not tied to anything after your purchase.
