Question

A client who is a multipara is diagnosed with premature labor requiring bed rest in the health care facility for an extended amount of time. Which interventions does the nurse include in the client's care plan? (Select all that apply)

a.) The client needs to be positioned on the left side and drink fluids.
b.) The client needs to eat highly nutritious meals.
c.) The client needs to palpate for contractions and notify staff immediately if contractions.
d.) The client plans to rest for 30 minutes after uterine contractions have subsided, and then gradually resume permitted activities.
e.) A physical therapy (PT) consultant will teach exercises the client can perform in bed.

Answer 1

In the care plan for a client diagnosed with premature labor requiring bed rest, the nurse includes interventions such as positioning on the left side, eating highly nutritious meals, monitoring for contractions, resting after contractions, and performing exercises under the guidance of a physical therapy consultant.

Step-by-step explanation:

In the care plan for a client diagnosed with premature labor requiring bed rest, the nurse includes the following interventions:

1. The client needs to be positioned on the left side and drink fluids: This position helps to improve blood flow to the placenta and reduce the risk of compression on the vena cava, which could affect blood flow to the fetus. Adequate hydration is also important for preventing dehydration and maintaining amniotic fluid levels.
2. The client needs to eat highly nutritious meals: Proper nutrition is essential for supporting the health and development of both the client and the fetus. Eating a balanced, nutritious diet can provide the necessary vitamins, minerals, and nutrients needed during pregnancy.
3. The client needs to palpate for contractions and notify staff immediately if contractions: Monitoring for contractions is important to detect preterm labor. Notifying the staff promptly allows for timely assessment and appropriate interventions to prevent further progression of labor.
4. The client plans to rest for 30 minutes after uterine contractions have subsided, and then gradually resume permitted activities: Resting after contractions can help reduce the risk of further preterm labor. Gradually resuming activities helps prevent excessive strain on the body and minimizes the risk of complications.
5. A physical therapy (PT) consultant will teach exercises the client can perform in bed: Bed rest can lead to muscle weakness and loss of muscle tone. Performing appropriate exercises while on bed rest can help maintain muscle strength and prevent complications.