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This Concept Map has information related to: Preterm labor, Multiple gestation, intrauterine growth restriction, gestational diabetes, preeclampsia, age extremes, stress, substance abuse, anemia, trauma, STI's, infection, history of preterm labor Risks For Preterm Labor, Fetal heart rate Normal: 110-160 bpm Twin A & B: 135 bpm Goals -Patient will have ɚ contractions per hour with a length ឝ seconds after 24 hours. -Patient pain level will remain under 5/10 until delivery. -Patient will remain free from DVT's until discharge. -Patient will eat ᡪ% of meals until discharge. -Patient will continue to have 1 BM per day until discharge., Medications ???? , Monitors Fetal Fetal heart rate Normal: 110-160 bpm Twin A & B: 135 bpm, Preterm Labor Definition Labor that begins before completion of 37 weeks but after 20 weeks from the last menstrual period, Preterm Labor Interventions Monitors, Preterm Labor Symptoms Abdominal pain, back pain, diarrhea pelvic pain, cramps, vaginal bleeding, vaginal discharge, pelvic pressure, urinary frequency,, Preterm Labor Interventions Assessments, Lab Tests ???? Speculation exam Blood tests Urinalysis Ultrasound Cervical length Fetal fibronectin (fFN), -Patient will have ɚ contractions per hour with a length ឝ seconds after 24 hours. -Patient pain level will remain under 5/10 until delivery. -Patient will remain free from DVT's until discharge. -Patient will eat ᡪ% of meals until discharge. -Patient will continue to have 1 BM per day until discharge. Outcomes -Patient's fetus' will remain inutero as long as possible. -Patient's pain will be manageable. -Patient will maintain good blood circulation. -Patient will maintain adequate nutrition. -Patient will maintain adequate GI motility.