Term
| Analyze factors that increase a woman's risk for preterm labor |
|
Definition
| smoking, short cervical length, previous pre term births, positive fetal fibronectin |
|
|
Term
| List the common criteria used in diagnosing preterm labor |
|
Definition
| more frequent check ups, gentle cervical exams, s&s of infections |
|
|
Term
| Identify and discuss the maternal/fetal risk factors associated with preterm labor |
|
Definition
maternal risk: limitation of activities...muscle weakness, diuresis, poor nutrition, orthostatic hypotension, psychological effects and sleep changes
fetal risks: under develop lungs or muscles, GI complications, GU complications, abnormal thermoregulation, hypoglycemia |
|
|
Term
| Discuss the major fetal risks associated with preterm labor |
|
Definition
| fetal lung immaturity, RDS, BVD, PAD, poor muscle tone, failure to thrive, abnormal thermoregulation, hypoglycemia, lack of coordination, difficulty feeding, inability to coordinate suck swallow breathe |
|
|
Term
| Identify the high priority nursing responsibilities for a woman admitted in preterm labor |
|
Definition
| steriod admin, bedrest, EFM, cx monitoring, VS monitoring, s&s of pre eclampsia, s&s of water breaking, fetal heart rate, fetal variability with cx |
|
|
Term
| Develop a teaching care plan for a woman at high risk for preterm labor |
|
Definition
| anxiety r/t uncertainity of outcome, impaired home maintence |
|
|
Term
| Formulate a nursing care plan for a woman admitted with premature rupture of membranes |
|
Definition
| risk for infection, risk for fetal injury, risk for hemorrhage |
|
|
Term
| Identify client discharge teaching on home tocolytic management |
|
Definition
| s&s of mag toxicity, have calcium gluconate handy, resp status, safety |
|
|
Term
Discuss the physiological action, common dose regime, therapeutic effect, and side or adverse effects of the following medications.
|
Terbutaline
Nifedipine (Procardia)
Indomethacin Indocin)
|
Calcium Gloconate
Magnesium Sulfate
Betamethasone
|
|
|
Definition
| tocolytic drugs table 27-3 pg 652 |
|
|
