before 37 weeks.
What are the categories of preterm labor? Correct Answer - Very preterm, moderately preterm, and late preterm.
What are the risks associated with shorter gestation? Correct Answer - Increased neonatal risks.
What are the risk factors for preterm labor? Correct Answer - Infections, previous preterm birth, multifetal pregnancy, smoking, substance use, violence or abuse, lack of prenatal care, uterine abnormalities, low prepregnancy weight.
What are the expected findings in preterm labor? Correct Answer - Uterine contractions, pressure in the pelvis, menstrual-like cramping, low backache, gastrointestinal cramping, urinary frequency, vaginal discharge.
What are the physical assessment findings in preterm labor? Correct Answer - Increase/change/odor/blood in vaginal discharge, change in cervical dilation, regular uterine contractions, premature rupture of membranes, discomfort.
What laboratory tests are done for preterm labor? Correct Answer - Fetal fibronectin, cervical cultures, CBC, urinalysis.
What diagnostic procedures are done for preterm labor? Correct Answer - Swab of vaginal secretions for fetal fibronectin, ultrasound to measure endocervical length. What does a cervical culture check for? Correct Answer - Presence of infectious organisms
What do culture and sensitivity results guide? Correct Answer - Prescription of appropriate antibiotic
What do biophysical profile and nonstress test provide information about? Correct Answer - Fetal well-being
What is the management of a client in preterm labor focused on? Correct Answer - Stopping uterine contractions
What is the recommended activity restriction for a client in preterm labor? Correct Answer - Modified bed rest with bathroom privileges
What position should the client rest in to increase blood flow to the uterus? Correct
Answer - Left lateral position
What should the client avoid during preterm labor? Correct Answer - Sexual intercourse
Why is hydration important in preventing preterm labor? Correct Answer - Dehydration stimulates the release of oxytocin, which stimulates uterine contractions
What should the client report regarding vaginal discharge? Correct Answer - Amount, color, consistency, and odor