![]() Risk for Injury: Vulnerable for injury as a result of environmental conditions interacting with the individual’s adaptive and defensive resources, which may compromise health. Assess for side effects of tocolytic therapy (e.g., decreased maternal blood pressure, dyspnea, chest pain, and FHR exceeding 180 beats/min).Ĥ.Administer tocolytic (contraction-inhibiting) medications as prescribed.Prepare for possible ultrasonography, amniocentesis, tocolytic drug therapy, and steroid therapy.Place the client on bed rest in the side-lying position.Perform measures to manage or stop preterm labor. Evaluate the fetus for distress, size, and maturity (sonography and lecithin-sphingomyelin ratio)ģ. Assess status of membranes and bloody show.Ģ.Determine cervical dilation and effacement.Determine frequency, duration, and intensity uterine contractions.Obtain specimens for complete blood count and urinalysis.Assess the mother’s condition and evaluate signs of labor. Clinical manifestations of preterm labor are basically the signs of true labor that occur when the gestational age of the fetus is greater than 20 and less than 37 weeks.ġ.The uterus begins the process of contraction prior to term gestational age.Maternal factors, such as stress (physical and emotional), urinary tract infections, and dehydration.Intrauterine infection (chorioamnionitis).Among the many causes of preterm labor are:. ![]() Preterm labor is labor that begins after 20 weeks’ gestation and before 37 weeks’ gestation.
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