Description
Part 1: 25 y/o presents to Labor and Delivery with complaints of uterine cramping and lower back pain. Denies any vaginal bleeding at this time. Has related history of a preterm birth at 32 weeks gestation with her last pregnancy. The baby is 3 years old now and has no developmental issues. |
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1. Group Beta Strep is missing from the labs - most often is obtained at 35 - 37 weeks gestation.
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Explanation & Answer

Hello, Please find the attached DQs. I have answered both of them seperately. Thanks
Discussion 1
What other information would you like to ask her?
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As the nurse caring for this patient, I would take a complete health history, including past
pregnancies.
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Current medications, drug use, alcohol use, STI’s.
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Has she ever been diagnosed with strep B infection?
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What was she doing prior to pain and cramping?
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Has she had cramping prior to this episode?
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How long has she been cramping?
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I would assess her nutritional status, when was the last time she ate or drank anything?
What did she eat?
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I would assess vitals.
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Do a physical assessment of abdomen, fundal height and positioning of fetus
(Assessment and Immediate Management of Pre-term Labour/Birth, 2011).
What nursing intervention will you provide?
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I would attach the fetal heart rate monitor to monitor contractions and fetal response to
contractions.
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Monitor length and quality of contractions.
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Initiate IV access.
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PCP will check cervix for dilation and fetal positioning in the ...
