Intrapartum Complications Study Guide- Questions and Complete Solutions

premature rupture of membranes (PROM) spontaneous rupture of the amniotic sac before the onset of labor possible causes of PROM - infection - previous history of PPROM - hydramnios - multiple pregnancy - urinary tract infections - amniocentesis - placenta previa - abruptio placentae - trauma - incompetent cervix - history of laser conization or LEEP procedure - bleeding during pregnancy - maternal genital tract anomalies fetal-newborn risks from PROM - respiratory distress syndrome (with PPROM) - fetal sepsis - malpresentation - prolapse of the umbilical cord - non-reassuring FHR pattern - compression of the umbilical cord - premature birth nursing care of clients with PPROM - determine duration of PPROM - assess gestational age - bserve for signs and symptoms of infection - assess hydration status - assess fetal status - assess childbirth preparation and coping - encourage resting on left side - comfort measures - education - maternal corticosteroid administration to enhance fetal lung maturity what corticosteroid is given to enhance fetal lung maturity? Betamethasone- 12 mg IM x 2 doses; 12-24 hours apart