PPROM

Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible.

Instructs client to inform nurse aide if pain is experienced during exercise

Raises client's straightened arm from side position upward toward head to ear level and returns arm down to side of body (extension/flexion) (at least 3 times unless pain is verbalized)

While supporting the limb, moves joints gently, slowly, and smoothly through the range of motion, discontinuing exercise if client verbalizes pain

Signaling device is within reach and bed is in low position