PRETERM LABOR
A 29-week pregnant client reports low back pain, pelvic pressure, and “menstrual-like cramps” for 3 hours. She says her belly keeps “balling up.”
signs of preterm labor
A patient receiving magnesium sulfate has respirations of 10/min and absent deep tendon reflexes.
What is magnesium toxicity?
A 33-week client reports a gush of clear fluid but no contractions.
What is PPROM (preterm premature rupture of membranes)?
A patient on Pitocin has 6 contractions in 10 minutes lasting 95 seconds.
What is tachysystole?
After the fetal head delivers, it retracts against the perineum.
What is turtle sign?
A nurse assesses a client at 31 weeks with contractions every 8 minutes for 1 hour and cervical dilation of 3 cm.
What is preterm labor?
The nurse immediately prepares which medication for a patient experiencing magnesium toxicity?
What is calcium gluconate?
A nurse should avoid this after rupture of membranes to reduce infection risk.
What are vaginal exams?
What is the FIRST nursing action for tachysystole?
What is turn off Pitocin?
First maneuver used for shoulder dystocia.
What is McRoberts maneuver?
A patient at 30 weeks asks why stopping labor is important.
What is because the baby’s lungs and organs are immature, increasing risk for respiratory distress and complications?
A patient taking terbutaline develops a heart rate of 138 bpm.
What is hold the terbutaline?
A patient with PPROM develops fever and foul-smelling discharge.
What is chorioamnionitis?
After stopping Pitocin, the nurse should perform these next interventions.
What are reposition, oxygen, IV bolus, notify provider?
A newborn after shoulder dystocia is at risk for this injury.
What is brachial plexus injury?