Nobody downloaded yet

Premature Rupture of Membrane during Labor - Essay Example

Comments (0) Cite this document
Summary
Premature Rupture of Membranes during Labor Name Institution Case Presentation An African American 20 years old female, at 36 6/7-weeks, G3P2T1P1A0L1, is admitted with premature rupture of membranes. She has no known allergies. Her GA presents to LRC with C/O LOF from 1330pm…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER93.4% of users find it useful
Premature Rupture of Membrane during Labor
Read TextPreview

Extract of sample "Premature Rupture of Membrane during Labor"

Download file to see previous pages However, her pulse is at 80bpm, 37.7oC temperature, and blood pressure at 111/58, and normal respiration at 16. Fetal heart rate is at 140. The patient is under the monitor of IUPC for frequency, intensity, and duration of contractions. The fetus is monitored by the external electronic fetal. Cervical dilation is 4cm, station 3, and 70% effaced. Fetus is in cephalic presentation. At 1000 assessment, cervical dilation is still 4cm, station -3, and 80% effaced, and the patient is in pain and distress, with a pain of eight in a 1 to 10 scale. Pain medication administered and support person taught lower back massage to alleviate back pain. Fetal heart rates are at 138, with 3 to 5 minutes contractions ranging between 30 seconds to one minute long. At 1200, epidural block administered after patients complain of pain, and advised not to lie on her back. Nursing Diagnosis and Pathophysiology Managing labor at term with spontaneously ruptured membranes can be confusing. Concerns arise about the appropriate management for pre-labor rupture of membranes and the spontaneous rapture of membranes after the labor begins. The nursing diagnosis priority is the examination of the premature rapture of membrane through a thorough physical, history examination, as well as selected laboratory studies. The primary caregiver should carry out a speculum examination to determine the presence of any cervical dilation or effacement. On suspicion of membranes premature rapture, it is integral to halt digital cervical examinations, as they tend to increase mortality and morbidity. Moreover, the digital cervical examinations result to a decrease of about nine days in the latent period (Medina and Hill, 2006). Evidence of pooling fluid in the vagina, or leakage from the cervical on application of fundal pressure or when the patient coughs, assist the care provider in determining membranes raptures. Diagnostic methods such as the use of nitrazine paper and ferning determination have sensitivities of about 90%. Nitrazine paper turns blue in the presence of amniotic fluid with a pH above 6.0. However, other contaminations such as presence of semen, blood, and bacterial vaginosis may give similar outcomes. The care providers should reserve a swab for determining the presence of ferning, which if positive indicates premature membranes rapture (Medina and Hill, 2006). Management of Pre-labor Membranes Ruptures at Term Previous studies on the management of pre-labor membranes ruptures focus essentially on the comparison of the incidence of infection in immediate induction patients versus the expected management on risk of infection after different durations of rupture. In their examinations, researchers compared outcomes from an induction and expected management with premature rupture of membrane at term. According to their reports, there were no differences in infection rate between the two examination groups, as well as a higher rate of caesarian section cases in the induced groups. A more recent research by Hannah and colleagues called TERMPROM study, a large, randomized multicentre trial, which compared immediate induction to expectant management running up to four days after the diagnosis of premature rupture of membrane at term. Results of the study show that maternal infection occurred at higher rates in women managed expectantly (Marowitz and Hunter, 2004). The rates of caesarian sections and neonatal infections were the same. Care Plan The following is the care plan for ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
  • CHICAGO
(“Premature Rupture of Membrane during Labor Essay”, n.d.)
Premature Rupture of Membrane during Labor Essay. Retrieved from https://studentshare.org/nursing/1446641-the-management-of-premature-rupture-of-membrane
(Premature Rupture of Membrane During Labor Essay)
Premature Rupture of Membrane During Labor Essay. https://studentshare.org/nursing/1446641-the-management-of-premature-rupture-of-membrane.
“Premature Rupture of Membrane During Labor Essay”, n.d. https://studentshare.org/nursing/1446641-the-management-of-premature-rupture-of-membrane.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document

CHECK THESE SAMPLES OF Premature Rupture of Membrane during Labor

Premature ejaculation

..., but postponing male climax is a renowned side-effect of some antidepressants. For majority of men, that side-effect is undesirable. But for males with premature ejaculation, it's very much looked-for. Antidepressants that are usually used for this resolution comprise of clomipramine, fluoxetine (Prozac) and sertraline (Lustral) (Kennard, 2010). Masturbation to prevent Premature Ejaculation It includes working with various techniques without a partner. This helps the PE patient better understand his sensations and timings which ultimately give him confidence that also comes handy during the sexual intercourse with a partner(Kennard, 2010). Works Cited Adam Keller Ashton, C. M. (2006)....
5 Pages(1250 words)Case Study

Premature Abortion (embryology)

...pregnancy (Sun et al. 449). According to estimates, one in four pregnant women experience miscarriage at least once, and about 1 in 100 pregnant women undergoes recurrent miscarriages (“Miscarriage”). Moreover, some women undergo miscarriages before they even realize they are pregnant. Women experiencing premature abortion or miscarriage experience several symptoms. They may sense pain caused by uterine contractions, suffer vaginal bleeding, etc. When the miscarriage occurs, the incompletely developed fetus is lost through the vagina, along with membranes and placenta (“Miscarriage”). Sometimes, the fetus dies but is not eliminated through the vagina, which may only be discovered after a routine scan....
4 Pages(1000 words)Essay

Membrane

...?Studying the impact of solute concentration on the rate of osmosis Introduction: Osmosis is defined as the movement of water molecules through a selective membrane (Freeman, 2010). Osmosis occurs so as to balance the water potential on either side of the membrane. Water potential is used to describe the tendency with which water moves from one region to another. This experiment was carried out in order to determine how the rate of osmosis changes under different solute concentrations. Solute concentrations heavily influence how osmosis occurs. In animal cells, when the solute concentration is equal on both sides of the membrane, there will be no movement of water molecules. Solutions...
4 Pages(1000 words)Lab Report

Plasma Membrane and Diffusion

...Plasma Membrane and Diffusion Introduction The interior of the cells is separated from the outside by a membrane known as a cell membrane whose permeability to ions and organic molecules are selective[Yos07]. The cell membrane controls the move movement of molecular particles in and out of the cell and its main function is protecting the cell from its surrounding. The cell membrane is mainly composed of the lipid layer embedded with proteins and it’s involved in the following cellular processes: Signaling of the cell, Adhesioning of the cell and conductivity of the ions in the cell and it forms the external attachment of cells interior to the...
2 Pages(500 words)Case Study

Membrane filtration (expriment)

...examination is crucial to determine the safety of drinking water. Presence of Enterococcus faecalis, Escherichia coli, Enterobacter aerogens and Proteus mirabilis in water sample was estimated using membrane filtration followed by incubation of the membrane filter in appropriate growth media to examine the determine the presence of pathogenic micro-organism. The motive to perform this study was to determine the presence of unknown organism(s) present in the provided samples. The study encompasses classification of bacteria based on their bio-chemical reactions, pH levels and osmoregulation. Identification and classification of bacteria from the sample is pragmatic as presence of any pathogenic...
5 Pages(1250 words)Lab Report

Premature babies' medical care

...a decisive concern on who acts on the person's behalf if he/she is incompetent in order to protect his/her interests. It is stated clearly as one of the rights of patients that they have a right to refuse treatment to the extent permitted by law (Annas 1989). Despite the critical issue in medical law that surrounds the protection of interests on children and incompetent adults, the decisions as to the withholding or withdrawal of medical treatment is being settled on the discretion of the court provided that patient's incompetence has been clearly determine. Cases of Pre-mature Babies Most of the problems and difficulties when working with very premature babies are related to practical problems of the management...
4 Pages(1000 words)Essay

Child Labor during Industrial Revolution

...The Industrial Revolution stands out as an era characterised by the blatant exploitation of labour, amongst which child labour figures in centre-stage. Indeed, the exploitation of labour was such that it incited Marx and Engel's' Communist Manifesto, among other economic treatise published during the period, most of which attempted the investigation of the relationship between the demand and supply of labour on the one hand, and the manner in which their interaction led to labour exploitation. Upon examining the conditions surrounding child labour during the Industrial Revolution, it becomes clear that it was a continuation of a pattern which had begun during the pre-industrial era, evolved consequent to demand and supply... Industrial...
3 Pages(750 words)Essay

Glomerular basement membrane diseases

...with autosomal recessive and autosomal dominant Alport syndrome have mutations in COL4A3 and COL4A4 (Devarajan, 2008). As a result of mutations, abnormalities occur in the basement membranes of the glomerulus, cochlea and eye. Most patients of Alport syndrome present during the first 2 decades of life with persistent microscopic hematuria and episodic gross hematuria. The common X-linked form of Alport syndrome leading to ESRD predominantly affects male individuals. The course of the disease depends on the type of presentation. In the juvenile form, ESRD occurs when the patient is about 20 years old. In the adult variety, ESRD occurs after 40 years of age. There is no racial predilection...
5 Pages(1250 words)Essay

Premature birth & the sociological effects

...>. Bell, Michelle. The Effects of Prematurity on Development: Process Studies: Summary of Research Literature Findings. 24 September 2009. Prematurity Research. 19 December 2010 prematurity-effects1f.html>. Gill, Gillian. “Premature labor and the premature baby: Psychological and social consequences.” Psychological Challenges in Obstetrics and Gynecology (2007) 121-130. 19 December 2010 < http://www.springerlink.com/content/978-1-84628-807-4/#section=319580&page=12&locus=65>. Maroney, Dianne I. “Recognizing the Potential Effect of Stress and Trauma on Premature Infants in the NICU: How Outcomes are Affected?” Journal of Perinatology. December (2003): 23. 19 December 2010 < http://www.premature-infant.com/Stress-and-Trauma.html).... Premature birth &...
3 Pages(750 words)Research Paper

Fetal Heart Monitoring during labor

...rupturing of the membrane and further monitoring the internal fetal scalp. The procedure puts the mother and the fetus life at risk. Aspects of the Intermittent Fetal Heart Monitoring during Labor The intermittent fetal heart rate monitoring is the technique that involves the use of systemic method called Doppler assessment. The process assesses the fetal heart rate during labor at set rate of time intervals. The procedure is similar to the continous assessment of the electronic fetal monitoring procedure on a low-risk patient. The technique is normally done for a period of 15 to 30 minutes during the first...
6 Pages(1500 words)Research Paper
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Essay on topic Premature Rupture of Membrane during Labor for FREE!

Contact Us