QUESTION: "A pregnant client with premature rupture of the membranes has had contractions every 10 minutes. After 48 hours, the contractions stop and the client is to be discharged with home monitoring. After teaching the client about preterm labor symptoms, the nurse determines that the client needs further instruction when she states which of the following?"
CHOICES
( O ) a.) "I should call the doctor if my contractions occur every hour for 6 hours."
( X ) b.) "If I start having contractions, I should empty my bladder."
( X ) c.) "I should report contractions that occur every 10 minutes in 1 hour."
( X ) d.) "I should lie in bed on my left side if contractions begin."
RATIONALE: It is not necessary for the client to call the health care provider if she experiences contractions every hour for 6 hours, but she should continue to monitor the contraction pattern to determine if the contractions are increasing in frequency. If the client experiences preterm labor symptoms for more than 15 minutes, she should empty her bladder, rest on the left side, palpate for uterine contractions, and call the health care provider. The client should report contractions that occur every 10 minutes or less for 1 hour, or if fluid leakage occurs. If the client experiences preterm labor symptoms for more than 15 minutes, she should empty her bladder, rest on the left side, palpate for uterine contractions, and call the health care provider. If the client experiences preterm labor symptoms for more than 15 minutes, she should empty her bladder, rest on the left side, palpate for uterine contractions, and call the health care provider. NURSING PROCESS STEP: Evaluation CLIENT NEEDS CATEGORY: Physiological integrity CLIENT NEEDS SUBCATEGORY: Reduction of risk potential
