A woman who is 36 weeks pregnant presents to the perinatal clinic with complaints of backache, pelvic fullness, and uterine contractions. Which action by the nurse is most appropriate?
A.
Arrange admission to the hospital.
B.
Obtain a clean-catch, midstream urine sample.
C.
Obtain blood for a type and screen.
D.
Prepare to administer a tocolytic agent.
ANS: B
Infection is a predisposing factor for preterm labor, so the nurse would be wise to collect a urine sample, which may be obtained via clean-catch or catheterized specimen. Arranging admission to the hospital is premature. Also, there is no indication that the patient will need blood imminently, and tocolytic agents to stop preterm labor are not used after the 34th week of gestation.
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