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A pregnant woman at 29 weeks of gestation has been diagnosed with preterm labor.

A pregnant woman at 29 weeks of gestation has been diagnosed with preterm labor. Her labor is being controlled with tocolytic medications. She asks when she might be able to go home. What response by the nurse is most accurate? “After the baby is born.”
“When we can stabilize your preterm labor and arrange home health visits.”
“Whenever the doctor says that it is okay.”
“It depends on what kind of insurance coverage you have.”

A client is to have an amniotomy to induce labor. The nurse recognizes that the priority intervention after the amniotomy is toapply clean linens under the woman
take the client’s vital signs
perform a vaginal examination
assess the fetal heart rate (FHR)

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Nurses should know some basic definitions concerning preterm birth, preterm labor, and low birth weight. For instance
The terms preterm birth and low birth weight can be used interchangeably
preterm labor is defined as cervical changes and uterine contractions occurring  between 20 and 37 weeks of pregnancy
low birth weight is anything below 3.7 lb
in the United States early in this century, preterm birth accounted for 18% to 20% of all births

Which statement related to cephalopelvic disproportion (CPD) is the least accurate?CPD can be related to either fetal size or fetal position.
The fetus cannot be born vaginally.
CPD can be accurately predicted.
The cause may be of maternal or fetal origin.

The nurse recognizes that uterine hyperstimulation with oxytocin requires emergency interventions. What clinical cues alert the nurse that the woman is experiencing uterine hyperstimulation? Choose all that apply. Uterine contractions lasting less than 90 seconds and occurring more than 2 minutes in frequency
Uterine contractions lasting more than 90 seconds and occurring less than 2 minutes in frequency
Uterine tone less than 20 mm Hg
Uterine tone greater than 20 mm Hg
Increased uterine activity accompanied by a nonreassuring fetal heart rate and pattern

The nurse is teaching a client with PPROM about self-care activities. Which activities should the nurse include in her teaching? Choose all that apply. Report a temperature higher than 40º C.
It is safe to use a tampon to absorb the leaking amniotic fluid.
Do not engage in sexual activity.
It is safe to take frequent tub baths.
It is acceptable to douche to cleanse the vagina of foul-smelling fluids.

Fill in the blank. A nurse is caring for a client in the active phase of labor. The woman’s bag of waters spontaneously ruptures. Suddenly the woman complains of dyspnea and appears restless and cyanotic. Additionally, she becomes hypotensive and tachycardic. The nurse immediately suspects the presence ofAmniotic fluid embolism.

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