ATI: Early Onset of Labor Flashcards
What time frame is preterm labor?
Weeks 20-36/6
What is the best way to determine the risk of preterm labor>
Fetal fibronectin + cervical measurement
What cervical lenght can be indicative of preterm labor?
Less than 30 mm
In what position should the mother rest if suspected of preterm labor?
Why?
Left lateral to increase perfusion to the fetus and to slow down contractions
Should a suspected preterm labor client be put on strict bed rest?
No, this can have adverse effects
What are the tocoloytics used to help w/ preterm labor?
- Magnesium sulfate
- Nifedipine
- Terbutaline
- Indomethacin
What are some nursing actions when admin. nifedipine?
- Monitor headaches, flushing, dizzines, nausea and hyptension
- Ensure slow position changes
Combo of nifedipine and magnesium sulfate, is this okay?
No!
Terbutaline side effects?
- Tachycardia
- Chest pain
- MI
- Pulmonary edema
- Hypotension
Where should betamethasone be admin to the mother?
Deep IM using ventreal gluteal or vastus lateralis muscles
What SE can we see w/ betamethasone?
- Maternal hyperglycemia
- Pulmonary edema
During PROM or PPROM, the FHR monitor is indicating abrupt FHR variables or prolonged decelerations, what is this indicative of?
- Prolapsed umbilical cord
What is the most common complication of PPROM?
Chorioamnionitis
