K.R., 40 years old, is pregnant with her fourth child. She is at 33 weeks gestation. She has had one miscarriage and has two living children, ages 15 and 9 years. It is 2100 on Friday night and her health care provider’s of¿ce is closed, so she has left a message with the answering service. She contacts OB triage and states, “I think I may be having contractions, but I know I’m too early. My 15-year-old was born at 30 weeks, and I am so scared that this is happening again.” She complains of lower abdominal tightening and back discomfort that comes and goes about every 8 minutes. 1. What are some priority questions for the nurse to ask? 2. What puts K.R. at high risk for PTL? 3. What are some nonpharmacologic measures to treat PTL? What are some pharmacologic options to treat PTL? 4. What needs to be done for the fetus at 33 weeks gestation?
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