Published on: 4/28/2025
A typical nursing diagnosis for a patient with premature rupture of membranes is "Risk for Infection" because the broken membranes can allow germs to enter and cause complications.
When a patient’s water breaks early, nurses are very careful about the risk of infection. A common nursing diagnosis may be “Risk for Infection.” This is because the amniotic sac, which normally keeps germs out, has ruptured. With the protective barrier gone, germs from the vagina can move upward and cause an infection in the mother or the baby. Nurses look for signs like fever or unusual discharge to detect any early infection. They also teach the patient to watch for any new symptoms and to report them right away. Other nursing diagnoses that might be considered include “Deficient Knowledge” if the patient does not understand what early water breaking means, and “Ineffective Coping” if the patient feels very worried or anxious about her condition. By identifying these risks, nurses help create a plan that keeps both the mother and baby safe. This plan may include regular checks, hygiene measures, and teaching the patient what symptoms to look for so that the healthcare team can act quickly if any problems arise.
(References)
Caughey AB, Robinson JN, Norwitz ER. Contemporary diagnosis and management of preterm premature rupture of membranes. Rev Obstet Gynecol. 2008 Winter;1(1):11-22. PMID: 18701929; PMCID: PMC2492588.
Kariman N, Afrakhte M, Hedayati M, Fallahian M, Alavi Majd H. Diagnosis of premature rupture of membranes by assessment of urea and creatinine in vaginal washing fluid. Iran J Reprod Med. 2013 Feb;11(2):93-100. PMID: 24639733; PMCID: PMC3941361.
Ekpa QL, Udoudo MI, Nwebeh EI, Nwebeh OC. Preterm Prelabour Rupture of Membrane (PPROM) in a Young Female in South-South Nigeria: A Clinical Case Report. Cureus. 2024 Jan 4;16(1):e51649. doi: 10.7759/cureus.51649. PMID: 38313973; PMCID: PMC10838058.
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