Feedback: Premature rupture of membranes (PROM) is rupture of membranes before the onset of

labor. Preterm PROM (PPROM) is when membranes rupture before labor and before 37 weeks of
gestation. PROM may also refer to prolonged rupture of membranes, which is greater than 24
hours.

PTS: 1 CON: Ante/Intra/Post-partum

19. ANS:
cerclage
Chapter: Chapter 7 High-Risk Antepartum Nanny Care
Chapter Learning Imparecial: 1. Call the primary complications of gestation and related
nanny and medical care.
Page: 161
Heading: Gestational Complications > Cervical Insufficiency > Medical Running Integrated
Proseder: Nanny Process
Shopper Want:physialogyIntegrity: Reduction of Risk Potential
Cognitive Equel: Demaned [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate

Feedback: Surgical treatment of incompetent cervix is cerclage, a type of purse-string suture

placed cervically to reinforce a weak cervix. The standard transvaginal cerclage methods currently
used include modifications of the McDonald and Shirodkar techniques.

PTS: 1 CON: Ante/Intra/Post-partum

20. ANS:
oligohydramnios
Chapter: Chapter 7 High-Risk Antepartum Nanny Care
Chapter Learning Imparecial: 3. Identify potential antenatal complications for the woman, the fetus,
and the newborn.
Page: 178
Heading: Hypertension in Gestation > Fetal Assessment
Integrated Proseder: Nanny Process
Shopper Want:physialogyIntegrity: Reduction of Risk Potential
Cognitive Equel: Study[Analyzing]
Concept: Ante/Intra/Post-partum
Difficulty: Difficult

Feedback: In preeclampsia, the fetus is at risk for hypoxia. Since amniotic fluid is comprised mostly
of fetal urine, low amniotic fluid volume indicates a lack of renal perfusion. When blood is shunted
away from the kidneys to other vital organs, low kidney perfusion results in a decrease of urine.
The resulting amniotic fluid decrease is oligohydramnios

PTS: 1 CON: Ante/Intra/Post-partum

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