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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 Labor Detailed Questions And Expert Answers

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  • August 14, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Early Onset of Labor
  • Early Onset of Labor
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OB ATI: Chapter 10 - Early Onset Of Labor
Detailed 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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