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A 28-year-old female client is admitted to the labor and delivery unit at 0700hrs. She is 34 weeks pregnant and reports having low back pain and frequent urination since last night. She mentions that urination is painful and she can only pass a small amount each time.

Exhibits

Given the client’s symptoms and the progression of her condition, the nurse suspects that the client may be experiencing complications related to preterm labor and a possible urinary tract infection (UTI). For each characteristic in the table, select whether it is more likely to be associated with preterm labor, a urinary tract infection (UTI), or both. Each column must have at least one response option selected. Candidates can select as many options as apply for each column.

A.

Frequent urination

B.

Low back pain

C.

Temperature of 38.3°C (101°F)

D.

Strong urge to push

E.

Contractions every 1.5 minutes

F.

Pain level of 8 on a scale of 0 to 10

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A,B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"}}

•    Frequent urination: This is more likely to be associated with a UTI, as frequent urination is a common symptom of UTIs.
•    Low back pain: This can be associated with both preterm labor and a UTI. Low back pain can be a sign of labor, and it can also be a symptom of a UTI.
•    Temperature of 38.3°C (101°F): This is more likely to be associated with a UTI, as fever is a common symptom of infections, including UTIs.
•    Strong urge to push: This is more likely to be associated with preterm labor, as an urge to push can be a sign of labor.
•    Contractions every 1.5 minutes: This is more likely to be associated with preterm labor, as frequent contractions are a sign of labor.
•    Pain level of 8 on a scale of 0 to 10: This can be associated with both preterm labor and a UTI. Severe pain can be a sign of labor, and it can also be a symptom of a UTI. Please note that these are potential associations and the healthcare provider should be informed immediately for further evaluation and management. It’s important to continue following the provider’s prescriptions and closely monitor the client’s condition.
 


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Related Questions

Correct Answer is A

Explanation

Choice A rationale
Fetal head compression is typically caused by uterine contractions during labor. As the uterine muscles get tighter and shorter, the size of the uterus decreases, thereby limiting the available space for the fetus.
Choice B rationale
Spontaneous rupture of membranes is not typically associated with fetal head compression.
Choice C rationale
Altered fetal cerebral blood flow is not typically associated with fetal head compression.
Choice D rationale
Umbilical cord compression is typically associated with variable decelerations in the FHR, not fetal head compression.

Correct Answer is D

Explanation

Choice A rationale

Monitoring weight is important for a newborn who is small for gestational age (SGA), but it is not the priority intervention. Weight can provide information about the newborn’s growth and development, but it does not address immediate physiological needs.
Choice B rationale
Monitoring I&O (Intake and Output) is crucial in assessing the newborn’s hydration status and kidney function. However, it is not the priority intervention for an SGA newborn.
Choice C rationale
Monitoring axillary temperature is important to maintain the newborn’s thermal regulation. However, it is not the priority intervention. Newborns, especially those who are SGA, are at risk for hypothermia due to their high body surface area to volume ratio and lack of subcutaneous fat.
Choice D rationale
Monitoring blood glucose levels is the priority intervention for an SGA newborn. SGA newborns are at risk for hypoglycemia because they have fewer glycogen stores. Hypoglycemia can lead to serious complications such as seizures, hence the need for close monitoring

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