Case study: Patient Information: Age: 28 Gestation: 32…
Case study: Patient Information: Age: 28 Gestation: 32 weeks, 3 days Gravida/Para: G2 P1 Presenting Complaint: Regular uterine contractions, reported as painful, increasing in intensity and frequency over the past 4 hours. Reports a “gush of fluid” an hour ago, but denies foul odor or fever. Past Medical History: Previous spontaneous preterm birth at 35 weeks (currently 3-year-old healthy child). Gestational diabetes managed with diet in current pregnancy. No known drug allergies. Social History: Non-smoker, occasional social alcohol use (denied in pregnancy). Initial Assessment Findings: Vital Signs: BP 128/78 mmHg, HR 92 bpm, RR 18 breaths/min, Temp 98.8°F (37.1°C), SpO2 98% on room air. Fetal Heart Rate (FHR): 140-150 bpm, moderate variability, accelerations present, no decelerations. Uterine Contractions: Palpable every 3-4 minutes, lasting 45-60 seconds, moderate intensity. Vaginal Exam: Cervix 3 cm dilated, 80% effaced, -2 station. Amniotic fluid noted in posterior fornix (nitrazine positive). Labs: CBC, urinalysis, group B strep (GBS) swab collected. Fetal fibronectin (fFN) pending. 1. What are the potential complications/conditions (select one)?______________________. Potential Complication/Condition neonatal respiratory distress syndrome infection increase maternal bleeding Preterm birth 2. What actions should the nurse take (select 4)?______________________. Actions to Take Monitor fetal heart rate and contraction pattern Massage fundus Administer pain medication Fluid bolus Administer tocolytic Perform patient education Administer Betamethasone