24 year old Asian (Indian)

Female;
Married; Administrative
Assistant;
G2 P1; 33 wks
Rutured
mem!rane"
leakin# o$
amnioti% &uids"
mild va#inal
!leedin#
'(e atient will remain $ree
o$ s)s o$ in$e%tion
Risk $or In$e%tion* maternal related to amnioti% mem!rane ruture and
invasive ro%edures
+ Assess F,R ) uterine
%ontra%tions and
edu%ate P' daily
+Instru%t t(e %lient to
er$orm daily $etal
ki%k %ounts-
+Instru%t t(e P' to
noti$y t(e nurse o$
uterine %ontra%tions
as soon as $elt
+'ea%( P' to not introdu%e
anyt(in# in t(e va#ina or
en#a#e in se.ual a%tivities
until la!or
+Assess t(e /01 la!s
values daily
+Assess t(e non+stress
tests (23') and
!io(ysi%al ro4les (0PP)
results as ordered
+/ill advise t(e %lient to
ad(ere to !ed rest wit(
!at(room rivile#es until
la!or
+/ill monitor t(e
temerature" (eart rate"
and resirations 54(
+/ill tea%( t(e P' to wie
$ront to !a%k a$ter
urinary)!owel movement
+P' will noti$y t(e
nurse i$ s(e is a!sent
or de%reased $etal
ki%k %ount
+P' will noti$y t(e
nurse i$ s(e is
e.erien%in#
%ontra%tions
+P' will ver!ali6e t(e
imortan%e o$ wiin#
$ront to !a%k a$ter
urinary)!owel
movement
+P' will ver!ali6e t(e
imortan%e o$ (ydration
and diet
+P'7s /01 values will
!e /28
+P' will ver!ali6e t(e
imortan%e o$ ad(erein#
to !ed rest wit( !at(room
rivile#es
+P'7s temerature" ,R"
and RR will remain wit(in
normal ran#e
+P' will noti$y t(e
nurse i$ s(e is a!sent
or de%reased $etal
ki%k %ount
+P' will noti$y t(e
nurse i$ s(e is
e.erien%in#
%ontra%tions
+P' will ver!ali6e t(e
imortan%e o$ wiin#
$ront to !a%k a$ter
urinary)!owel
movement
+
P'7s 93 /28* tem* :;-<= F" ,R* <;" RR* 1;
P' %omlied wit( !ed rest
P' ver!ali6ed t(e num!er o$ $etal ki%ks er (our and a!sent o$
%t.
P' ver!ali6ed t(e imortan%e o$ wiin# $ront to !a%k a$ter
!owel >
urinary movement $oul+smellin#
Pt drank ? #lasses o$ water in ; (ours and dislayed a (ealt(y
aetite
P' ver!ali6ed t(e imortan%e o$ no va#inal enetration