Preterm Labor

What are common expected assessment findings in preterm labor (PTL)?

Contractions, dull backache, menstrual-like cramps, pelvic fullness, and vaginal discharge.

Which lab test can be used to rule out infection in preterm labor?

Urinalysis.

What is the purpose of administering Magnesium Sulfate in PTL?

To relax uterine muscles and stop irritability and contractions.

What is a potential complication of using Indomethacin in PTL?

Premature closure of the ductus arteriosus.

What does a negative result for Fetal Fibronection indicate?

Strong predictor that preterm labor in the next two weeks is unlikely.

List a nursing intervention to manage preterm labor.

Monitor for magnesium toxicity or blood pressure.

What education should be given to a patient to prevent preterm labor?

Avoid long-distance travel, heavy lifting, and hard physical work; recognize signs and notify the provider.

What medication is contraindicated for women with a pulmonary disease during preterm labor?

Indomethacin.

What are some risk factors for complications related to preterm labor?

Infections, congenital heart defects, jaundice, hypoglycemia.

What are signs that a woman should call her provider during preterm labor assessment?

Increased frequency and strength of contractions.

What lifestyle modification can help manage preterm labor symptoms?

Resting for 1 hour and staying hydrated by drinking 2-3 glasses of water.

What are some complications associated with preterm birth?

Respiratory distress syndrome, cerebral palsy, hearing loss, and visual impairment.

How should contractions be monitored during labor?

Continuous monitoring via an external fetal monitor.

What is an important nursing intervention regarding vaginal examinations in preterm labor?

Limit vaginal examinations to prevent ascending infection.