USUAL MEDICAL MANAGEMENT AND PROTOCOLS FOR NURSE PRACTITIONERS
The treatment of PROM is one of the most controversial subjects in obstetrics today because of conflicting scientific research. Management generally depends on variables such as gestational age, presence of fetal stress, presence of maternal or fetal infection, and presence of labor.
Documentation of Fetal Age
Gestational age is usually verified with review of prenatal records and ultrasounds. If this information is unavailable because of late prenatal care, the biparietal diameter may not be accurately determined because the head is low in the pelvis. In this case, femur length, abdominal circumference, or both are used to determine gestational age of the fetus.