Exam (elaborations)
OB ATI: Chapter 10 - Early Onset Of Labor Detailed Questions And Expert Answers
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OB ATI: Chapter 10 - Early Onset Of Labor Detailed Questions And Expert Answers
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OB ATI: Chapter 10 - Early Onset Of LaborDetailed Questions And Expert Answers
Preterm labor is defined as - ANS uterine contractions and cervical changes that
occur between 20 and 37 weeks of gestation.
● It is important for a nurse to have a thorough understanding of the risk factors,
assessment findings, and nursing interventions to care for the client who has
preterm labor.
Preterm Labor: Risk Factors - ANS ● Infections of the urinary tract, vagina, or
chorioamnionitis (infection of the amniotic sac)
● Previous preterm birth
● Multifetal pregnancy
● Hydramnios (excessive amniotic fluid)
● Age below 17 or above 35
● Low socioeconomic status
● Smoking
● Substance use
● Domestic violence
● History of multiple miscarriages or abortions
● Diabetes mellitus or hypertension
● Lack of prenatal care
● Recurrent premature dilation of the cervix
, ● Placenta previa or abruptio placentae
● Preterm premature rupture of membranes
● Short interval between pregnancies
● Uterine abnormalities
Preterm Labor: Subjective Data - ANS ◯ Persistent low backache
◯ Pressure in the pelvis and cramping
◯ Gastrointestinal cramping, sometimes with diarrhea
◯ Urinary frequency
◯ Vaginal discharge
Preterm Labor: Objective Data - ANS ■ Increase, change, or blood in vaginal
discharge
■ Change in cervical dilation
■ Regular uterine contractions with a frequency of every 10 min or greater, lasting
1 hr or longer
■ Premature rupture of membranes
Preterm Labor: Labs - ANS ■ Fetal fibronectin
■ Cervical cultures
■ CBC
■ Urinalysis
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