A client at 34 weeks gestation arrives to OB triage and is concerned she may be in preterm labor.
Which of the following are signs and symptoms of preterm labor? (Select all that apply.)

Given the symptoms and physical examination findings, the nurse should anticipate a provider prescription for Acyclovir as evidenced by the presence of vesicles and pustules.

The case presented shows several key indicators that point toward a diagnosis of genital herpes, which is caused by the herpes simplex virus (HSV).

1. Presence of vesicles and pustules: The small, pinpoint open vesicles and pustules on the labia majora, along with clear drainage, are classic signs of genital herpes.
2. Erythema and tenderness: The redness (erythema) and tenderness of the perineal area further support this diagnosis.
3. Systemic symptoms: The client reports muscle aches and chills, which are common systemic symptoms of a viral infection like herpes.
4. Denies dysuria and other severe symptoms: The absence of symptoms like dysuria and acute distress is consistent with the presentation of genital herpes during the vesicle stage.

Acyclovir is an antiviral medication commonly prescribed for the treatment of herpes simplex infections. It helps to reduce the severity and duration of symptoms. Hence, the nurse should anticipate a prescription for Acyclovir based on the clinical presentation and findings.

Choice A rationale

Placenta previa leads to painless vaginal bleeding when the placenta covers the cervix. It does not typically require continuous fetal monitoring or prepare for cesarean birth based on the findings alone.

Choice B rationale

Abruptio placentae is the premature detachment of the placenta, causing abdominal pain, and can lead to fetal distress. Continuous fetal monitoring and preparation for cesarean birth are consistent with this complication.

Choice C rationale

Gestational hypertension is high blood pressure that develops after 20 weeks of pregnancy but without the presence of protein in the urine or other symptoms of preeclampsia. It would not typically necessitate the measures described.

Choice D rationale

Preeclampsia involves high blood pressure and proteinuria after 20 weeks of gestation and can cause severe complications for both the mother and fetus. However, it does not directly lead to the specific intervention of continuous fetal monitoring and cesarean preparation. .