More questions on Preterm Labor
More questions on Preterm Labor ( 55 Questions)
A nurse is caring for a client who is at 33 weeks of gestation and has pre-term labor that has not responded to tocolytic therapy.
The client’s cervix is dilated to 4 cm and she is experiencing regular contractions every 3 minutes.
Which of the following interventions should the nurse include in the plan of care?
Administering magnesium sulfate intravenously is a type of tocolytic therapy that the client has already failed. Magnesium sulfate may also have side effects such as nausea, vomiting, flushing, headache, and muscle weakness.
Prepare for an emergency cesarean section. This is because the client has pre-term labor that has not responded to tocolytic therapy, which are drugs that are used to delay delivery for a short time. The client’s cervix is dilated to 4 cm and she is experiencing regular contractions every 3 minutes, which are signs of active labor. The baby is at 33 weeks of gestation, which is premature and may have complications such as respiratory distress syndrome or bleeding in the brain.
Therefore, the client needs an emergency cesarean section to deliver the baby as soon as possible and prevent further risks.
Placing the client in Trendelenburg position, which is lying on the back with the feet elevated above the head, is not recommended for preterm labor. This position may increase the risk of aspiration, decrease cardiac output, and impair gas exchange.
Administering antibiotics prophylactically is not indicated for preterm labor unless there is evidence of infection in the uterus or membranes.
Antibiotics may also cause allergic reactions or bacterial resistance.
Prepare for an emergency cesarean section. This is because the client has pre-term labor that has not responded to tocolytic therapy, which are drugs that are used to delay delivery for a short time. The client’s cervix is dilated to 4 cm and she is experiencing regular contractions every 3 minutes, which are signs of active labor. The baby is at 33 weeks of gestation, which is premature and may have complications such as respiratory distress syndrome or bleeding in the brain.
Therefore, the client needs an emergency cesarean section to deliver the baby as soon as possible and prevent further risks.
Choice A is wrong because administering magnesium sulfate intravenously is a type of tocolytic therapy that the client has already failed. Magnesium sulfate may also have side effects such as nausea, vomiting, flushing, headache, and muscle weakness.
Choice C is wrong because placing the client in Trendelenburg position, which is lying on the back with the feet elevated above the head, is not recommended for preterm labor. This position may increase the risk of aspiration, decrease cardiac output, and impair gas exchange.
Choice D is wrong because administering antibiotics prophylactically is not indicated for preterm labor unless there is evidence of infection in the uterus or membranes.
Antibiotics may also cause allergic reactions or bacterial resistance