The nurse has admitted a patient to the high-risk OB unit with preterm premature rupture of the membranes. After obtaining maternal vital signs and the fetal heart rate, which action should the nurse do next?
A.
Assess for coping skills in the woman and her partner.
B.
Attach the woman to continuous electronic fetal monitoring.
C.
Consult social work for diversionary activities to enhance bedrest.
D.
Prepare to administer antibiotics for presumed chorioamnionitis.
ANS: B
Management of premature rupture of the membranes consists of prolonged maternal and fetal monitoring and modified bedrest. The nurse should attach the fetal monitor to the patient. In high-risk pregnancies, coping skills are often exhausted, and the nurse would do well to assess the state of coping in this patient, but this does not take priority. Providing diversionary activities would help enhance the bedrest experience, but, again, this does not take priority. There is no indication that the woman has chorioamnionitis, although it is a common cause of premature rupture of membranes. If diagnostic data indicate an infection, an antibiotic would be appropriate at that time.
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