Question

a client at 32 weeks' gestation has been placed on complete bed rest due to premature labor contractions. the nurse should prioritize assessments for which complication?

Answer 1

Assessment for Thrombophlebitis. The frequency of thromboembolic events among women who were given prolonged bed rest as part of a treatment plan for early labour or preterm early membrane rupture.

In order to treat early labour or preterm premature rupture of membranes, extended bed rest was ordered for 192 patients who were admitted throughout the study period. A prevalence of 15.6 instances per 1000 women was seen in three of these women who experienced thromboembolic events. Five more pregnant women were hospitalised for the treatment of pulmonary embolism or deep vein Thrombophlebitis. During this time, 6164 deliveries occurred among women who were not given prolonged bed rest for preterm premature rupture of the membranes or premature labour.

In comparison to gravid women who do not get this medication, the incidence of thromboembolic events across women to whom the extended bed rest is given as part of the treatment of premature labour or premature early rupture of membrane is substantially greater than previously reported. It may be wise to conduct additional research to see if this prevalence may be decreased if this discovery is validated in other populations.

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