Assignment: Labor and Delivery Complications
A 25 year old presents to Labor and Delivery with complaints of uterine cramping and lower back pain. She denies any vaginal bleeding at this time. She has related a history of preterm birth at 32 weeks gestation with her last pregnancy. The baby is 3 years old now and has no developmental issues. Her current gestational age is 30 weeks. determine preterm
She is 0+ and all other lab values are normal. NO noted STIs.
o Group B strep is missing from the labs - most often obtained at 35-37 weeks gestation.
o Without this information, it is often determined to treat the patient anyway - presumptively to protect a premature baby from the risk.
o What other information would you like to ask her?
o What nursing intervention will you provide?
o What screening tests are often obtained to help determine her risk for preterm labor?
o If it is determined she is in pre term labor what medications may you want to use with a providers order?
o Also give a dose, side effects, and possible results of the medication.
The patient is now 3 cm, 100% effaced, -2 station. What is the plan of care for the safety of this patient and her baby? Fetal Heart rate is 160 with moderate variability. Contractions are now mild and 15 minutes apart in frequency.
o Magnesium Sulfate is used to stop the contractions and this has been successful.
o What is the dose you will start with, what is the maintenance dose?
o Indicate what nursing interventions are necessary for use with Magnesium Sulfate
Format your assignment according to the following formatting requirements:
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o The response also includes a cover page containing the title of the assignment, the student's name, the course title, and the date. The cover page is not included in the required page length.
o Also include a reference page. The Citations and references must follow APA format. The reference page is not included in the required page length.