How to Answer Medical History Gravida Questions (Complete Guide)

Students often encounter this when studying fundamental concepts.

What This Question Is About

This question relates to medical history gravida and requires a structured academic response.

How to Approach This Question

Structure your response with introduction, analysis, and conclusion.

Key Explanation

This topic involves medical history gravida. A strong answer should include explanation, application, and examples.

Original Question

Medical History • Gravida 1 Para 0 • 29 weeks gestation ⸻ Nurse’s Notes • Client reports a constant, low, dull backache and pelvic pressure for the past 8 hours. • Client also notes the presence of painless contractions that have increased in frequency over the past few hours along with the presence of bloody mucus in vaginal discharge. • External fetal monitor applied. ⸻ Vital Signs • Temperature: 37.2°C (99°F) • Pulse: 88/min • Respirations: 20/min • Blood Pressure: 118/78 mm Hg ⸻ Physical Examination • Fundal height: 28 cm • Contraction pattern: Contractions every 4 to 5 minutes, lasting 30-45 seconds, palpate mild in intensity. • Fetal Heart Rate (FHR): Baseline 150 bpm, minimal variability, accelerations present, 1 variable deceleration on initial 30 minutes of monitoring, FHR decreasing to 120. • Vaginal examination: Cervix 2 cm dilated, 50% effaced, membranes intact. ⸻ Diagnostic Results • Fetal fibronectin: Positive ⸻ This data collectively suggests that the client is showing signs of preterm labor at 29 weeks gestation. The positive fetal fibronectin, bloody mucus, contractions, and cervical changes confirm this assessment. The appropriate nursing interventions will likely include placing the client in a side-lying position, administering magnesium sulfate (to suppress labor and provide neuroprotection for the fetus), and planning for a transvaginal ultrasound to evaluate cervical length and further monitor progression. Image transcription text Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should tak… Show more

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