What is Premature Rupture of Membrane (PROM)? What special precautions do you take on exam, and what do you avoid? What 2 ways can you confirm PROM? What is the disposition of the patient?
a) Rupture of membranes before 37 weeks; Avoid digital exams; Fern test and Nitrazine test; Hospitalization
b) Rupture of membranes after 37 weeks; Frequent digital exams; Ultrasound and Maternal Serum Alpha-Fetoprotein; Home care
c) Rupture of membranes before 40 weeks; Use sterile gloves for exams; Nitrazine test and Fetal Fibronectin; Outpatient follow-up
d) Rupture of membranes after 40 weeks; Gentle exams as needed; Fern test and Biophysical Profile; Observation