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23 Cards in this Set
- Front
- Back
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When can SROM occur? (2)
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before labor
during labor @ height of u/c |
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subjective data for SROM
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gush or loss of fluid
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objective data for SROM (4)
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speculum exam (pooling of fluid)
+ amnisure Nitrazine test (dark blue) + Ferning |
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Color of nitrazine test if SROM occurs
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Dark blue
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Requirements for AROM (4)
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2cm or more dilated
engaged fetal head practicioner instrument |
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Who can perform the AROM? (3)
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OBGYN
CertifiedNM trained medical resident |
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What does AROM do to labor (2)
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accelerates and shortens labor
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SROM/AROM allows for placement of what on presenting part of fetus
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internal scalp electrode
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2 instruments that can placed once SROM/AROM occurs
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internal scalp electrode
intrauterine pressure cathether |
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Once AROM/SROM occurs acid base determination (pH) can be done with what?
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fetal blood sampling
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When AROM is performed it allows for visualization of what?
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amniotic fluid color and composition
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stimulate uterine contractions
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prostaglandins
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rupture of membranes stimulates release of these
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prostaglandins
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ROM allows the presenting part to do what?
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descend and place pressure on cervix
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Promotes cervical dilation
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pressure against cervix
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Nurse's role during AROM (3)
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Explain procedure
no dry birth (con't replaced fluid) Seepage during labor |
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Preparation of AROM procedure includes validation of the following (4)
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fetal presentation
position station FHR |
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Post procedure mgt for AROM (4)
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verify FHR
perineal hygiene limit # of cervical exams Mtr maternal temp q2hrs |
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cervical exams should be limited after ROM to decrease risk of what?
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sepsis
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monitoring of maternal temp should occur how frequently until delivery after rupture
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every 2 hrs
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if the presenting part of the fetus is high what does it increase the risk ok? (2)
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umbilical cord compression
prolapsed with rupture of sac |
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what should be done if the presenting part is high (above zero station)?
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fundal pressure applied
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What should be documented after AROM? (4)
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time
who did it FHR amt/color/odor/stainging of fluid |
