Answer:
Step-by-step explanation:
In this scenario, the primary goal that the nurse should prioritize is to prevent preterm labor and delivery. Preterm labor and delivery at 22 weeks' gestation can be associated with significant risks for both the mother and the baby, including infection, hemorrhage, and neonatal death or long-term disability.
To prevent preterm labor and delivery, the nurse should focus on the following nursing interventions:
Administer tocolytic medications as prescribed: Tocolytic medications can help stop or slow down contractions, which can help prevent preterm labor and delivery. The nurse should monitor the client's vital signs, uterine contractions, and side effects of the medication.
Administer antibiotics as prescribed: Antibiotics can be given to treat or prevent infection, which can cause preterm labor and delivery. The nurse should monitor the client's temperature, white blood cell count, and other signs of infection.
Provide supportive care: The nurse should provide the client with emotional support and encourage rest and hydration. The nurse should also monitor the client's pain level and provide appropriate pain management.
Monitor fetal status: The nurse should monitor the fetal heart rate and assess for any signs of fetal distress, such as decreased fetal movement or changes in the fetal heart rate pattern.
By preventing preterm labor and delivery, the nurse can help improve the outcomes for both the mother and the baby. Other goals, such as promoting optimal nutrition and preventing infection, may also be important, but preventing preterm labor and delivery should be the primary focus at this point.