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Rule out ROM

OB

Body

#Rule out ROM, term  - Patient reports possible ROM @time***.
- SSE {DESC; WITH/WITHOUT:18785} evidence of rupture
{Positive Negative:23789} pooling
{Positive Negative:23789} Nitrazine
{Positive Negative:23789} ferning
- Toco {DESC; WITH/WITHOUT:18785} regular contractions
- SVE ***/***/***
- BSUS {DESC; WITH/WITHOUT:18785} adequate fluid***

- Based on history and exam, low suspicion for rupture of membranes. Will discharge home with precautions.***

- Rupture of membranes confirmed, will plan to admit to L&D for active management.***

# FWB
- NST: {reactive/ non reactive/ unknown:24043}
- GBS: {status; positive negative unknown:34698}

Yellow *** markers = placeholders you fill in or delete per case.

Hannah Kelly, MD (compiled from prior Duke residents) · last reviewed 2026-07