This preterm labor nursing concept map depicts the symptoms of preterm labor. Preterm labor occurs when regular contractions cause your cervix to open after week 20 but before week 37 of pregnancy. Premature birth can occur as a result of preterm labor. The earlier a premature birth occurs, the greater the risks to your baby's health. Many premature babies require intensive care in a neonatal intensive care unit. Preemies are also susceptible to long-term mental and physical disabilities. The precise cause of preterm labor is frequently unknown. Certain risk factors may increase the likelihood of preterm labor, but as shown in this preterm labor nursing concept map, preterm labor can occur in pregnant women with no known risk factors.
Multiple gestation, intrauteine grewth restrktion,gestational diabetes, preeclampsla,age extremes, stress, substarce abuse,anemia, trauma, STts, infection, history of preterm labor
Definition
Nursing Diagnoses
Risk for fetal impained gas exchange r/t possible ccrd compressicn,ineffective tissue perfusion r/t side effects of Magnesium Sulfate,fiuid volume imbalance r/t administration of Magnesium Sulfate,constipation r/t decreased mobillity and medication,pain r/t preterm labor cortracticns, fear r/t unkncwn cutcome of birtth, deficiertknowledge /t lack of information of problems associated with muitiple gestations,
Assessment
Assessment completed 9-12-D7. Patient was awake and alert, refiexes were p+2-Temperature - 36-4 c, pulse - 79, blocd pressure - 12/69, respirations - 16patient was negative for edema and homans sign, SCD 's were on. Lungs were cleae to auscultation billaterally, Respirations were even and unlabored.Abdomen was soft and bowel sounds were nonmoactive, urine, Vision was Clear.Mernbranes were intavt and negative for vaginal bleeding.Fetal heart rates were 'a'-135 and 'b'-135 bpm with good variabillity and a-ccerations,Contractions were two per hour at 40 seonds in length with mildd irtensity (nose)-
Interventions
Assessments
monitors
Lob Tests.
Medicaltions
Assess
Side effects,therapeutic effects,vital signs,contractions
Goals
-patient will have -c2 contractions per hour with a lenhth <45 seconds aftre 24 hours.-patient panin level will remain under5/10 until delivery,patient will remain free from Dvt's until discharge.patient will eat>50% of meals until discharge.-patient will contirue to have 1 BMper day untill discharge
Outcomes
-patient' will remain inuteroas long as possible,-patient's pain will be manageable,-patient will maintain good bloodcircullation--patient will malrtain adequatenutrition, -patient will mairtain adequate GI motillty,
Matemal
Fetal
Blood pressure: 123/69pulse:79Tocodynarometer:x2 per hour40 seconds in length
Fetal heart ratenormal: 110 -160 bpmTwin a & B:135 bpm
