PPROM In preterm patient

never mind

If I worked at a place where there wasn't a physician on the floor at all times (ie, had to call them from home or another floor in the hospital), I might consider a sterile lady partsl exam to make sure there are no presenting parts in the lady parts or a prolapsed cord. I would definitely at least look at her lady parts and make sure nothing is hanging out (foot, cord, etc). Where I work there is always at least a resident and an attending close by (can be in the room in seconds) so I would just call for help and expect them do an SVE or speculum exam/ultrasound unless I saw cord protruding from the lady parts, because I don't usually stick my hands in preterm patients who aren't in labor when I have a doctor around to do it. I would probably call another nurse to bring a stretcher and keep it by the door, and make sure she isn't wearing jewelry and ask her when she last ate/drank, in case the doc calls a stat. I would continue to change positions until the doctor got there (left, right, knee chest).