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PPN 301 Week 5: Labor at Risk, 4th Trimester and Early Postpartum Exam Q&A 100% Pass $11.99   Add to cart

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PPN 301 Week 5: Labor at Risk, 4th Trimester and Early Postpartum Exam Q&A 100% Pass

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PPN 301 Week 5: Labor at Risk, 4th Trimester and Early Postpartum Exam Q&A 100% Pass Preterm Labour - cervical changes with uterine contraction occurring between 20-37 Rate is higher among patients younger than 18 years of age or older than 35 years Preterm Birth - Any birth occurring before ...

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  • October 12, 2024
  • 42
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • PPN 301
  • PPN 301
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JOSHCLAY
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
PPN 301 Week 5: Labor at Risk, 4th Trimester

and Early Postpartum Exam Q&A 100% Pass



Preterm Labour - ✔✔cervical changes with uterine contraction occurring

between 20-37


Rate is higher among patients younger than 18 years of age or older than 35

years


Preterm Birth - ✔✔Any birth occurring before 37 weeks completion of

pregnancy regardless of the weight of the infant


Causes of Preterm Labour - ✔✔Infections


Vaginal bleeding

Hormone changes


Stretching of the uterus.


Signs and Symptoms of Preterm labour

,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Uterine Activity - ✔✔Uterine contractions more frequent than every 10 minutes,

persisting for 1 hour or more


Uterine contractions painful or painless


Signs and Symptoms of Preterm labour


Discomfort - ✔✔Lower abdominal cramping similar to gas pains; may be

accompanied by diarrhea


Dull, intermittent low back pain (below the waist)


Painful, menstrual-like cramps


Suprapubic pain or pressure


Pelvic pressure or heaviness; feeling that "baby is pushing down"


Urinary frequency


Signs and Symptoms of Preterm labour


Vaginal Discharge - ✔✔Change in character and amount of usual discharge:

thicker (mucoid) or thinner (watery), bloody, brown or colourless, increased

amount, odour


Predicting preterm labour and birth

,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Fetal fibronectin test (FFN)


Cervical length <30mm are risk preterm labour


Combination of both is better

Suppression of uterine activity


Tocolytics -used suppress labour -(no specific medication approved in Canada)


Nifedipine, indomethacin, magnesium sulphate - ✔✔Tocolytics -used suppress

labour -(no specific medication approved in Canada)

Nifedipine, indomethacin, magnesium sulphate


Early recognition and diagnosis is based on three major diagnostic criteria: -

✔✔1. Gestational age between 20 and 36 6/7 weeks


2. Regular uterine activity, accompanied by a cervical change


3. Initial presentation with regular contractions and cervical dilation of 2 cm or

greater


Contraindications of Tocolytics


Maternal - ✔✔Severe pre-eclampsia or severe gestational hypertension


Significant vaginal bleeding

, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Intrauterine infection (chorioamnionitis)


Cardiac disease


Medical or obstetrical condition that contraindicates continuation of pregnancy

Contraindications of Tocolytics


fetal - ✔✔Gestational age of 37 weeks or more


Fetal demise


Lethal fetal anomaly


Evidence of acute or chronic fetal compromise


Promotion of fetal lung maturity - ✔✔Antenatal glucocorticoids


to accelerate fetal lung maturity by stimulating fetal surfactant production.


Management of inevitable preterm birth - ✔✔magnesium sulphate may be

administered to reduce or prevent newborn neurological morbidity


Nursing Care for a Patient Receiving Tocolytic Therapy - ✔✔position patient in

lateral position to enhance placental perfusion and reduce pressure on the

cervix.

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