Acog Pb139 Premature Rupture Of Membranes |44 Questions| With Correct Answers.

PCN allergy with PPROM? {Ans: Low Risk - Cefazolin 1g IV q8 x48 hrs then Cephalexin 500mg PO q6 x5d High Risk - Clindamycin 900mg IV q8 x48hrs + Gentamycin 7mg/kg daily for 2 days, then PO Clinda 300mg q8 x5d}Should PPROM be managed with home care? {Ans: Not recommended}PROM prior to viabiliy (24 wks)? {Ans: Patient counseling, expectant managment vs induction, MERCER antibiotics, GBS prophylaxis and Corticosteriods are not recommended prior to viability. No tocolysis}Definition of PPROM {Ans: Membrane rupture before labor and before 37 weeks of gestation}Initial managment of PROM {Ans: Assess GA, fetal presentation and status. R/U infection, abruptio placentae and fetal compromise. Collect GBS}How long do you wait with adequate contractions before considering C Section? {Ans: 12-18 hrs.}