During the management of a patient with PROM, what should be monitored every 2 minutes if labor starts?

In the management of a patient with premature rupture of membranes (PROM), monitoring both contractions and fetal heart rate every 2 minutes is crucial once labor begins. This continuous monitoring allows healthcare providers to assess the progress of labor and the well-being of both the mother and the fetus.

Monitoring uterine contractions provides important information about the nature of labor, including its frequency, duration, and intensity. It helps in determining whether labor is progressing appropriately. On the other hand, fetal heart rate monitoring is critical for assessing fetal health and identifying any signs of distress or complications during labor. An abnormal fetal heart rate can indicate issues such as fetal hypoxia or the need for interventions.

Together, these two parameters give a comprehensive view of the laboring process, enabling timely decision-making to ensure a safe delivery. Thus, the correct approach in this scenario is to monitor both contractions and fetal heart rate consistently during labor.