During a routine prenatal visit, a client at 32-weeks gestation reports that urinary frequency has increased during the day as well as at night. The nurse determines the client is having irregular uterine contractions. Which action should the nurse implement?

Choice A rationale

SROM for 36 hours before delivery significantly increases the risk of postpartum endometritis due to prolonged exposure of the uterine cavity to potential pathogens. Prompt antibiotic therapy may be required to prevent infection.

Choice B rationale

Labor lasting for 24 hours can contribute to maternal fatigue and increased risk of complications, but it is not the primary factor for postpartum endometritis. The duration of rupture of membranes is more critical in this context.

Choice C rationale

A third-degree perineal laceration poses a risk for infection at the wound site but is not the leading cause of postpartum endometritis. The primary concern remains the extended duration of ruptured membranes.

Choice D rationale

Epidural anesthesia is not directly associated with an increased risk of postpartum endometritis. Its primary effects are related to pain management and potential impacts on labor progression, not infection risk.

Choice A rationale

Explaining procedures is important for patient understanding and consent, but it does not directly stabilize the client's condition during an eclamptic seizure.

Choice B rationale

Treating nausea can provide symptomatic relief but does not address the primary concerns of airway protection, seizure control, and hemodynamic stability in eclamptic patients.

Choice C rationale

Ensuring side rails are padded prevents injury during seizures by providing a protective barrier, reducing the risk of trauma from uncontrolled movements.

Choice D rationale

Assisting with breast pumping does not directly impact the stabilization of an eclamptic patient. The priority is managing seizures and ensuring patient safety.

Choice E rationale

Evaluating blood pressure frequently allows for early detection of hypertension or hypotension, guiding appropriate interventions to maintain hemodynamic stability and prevent complications.

Choice F rationale

Evaluating for headache is important for assessing potential complications of eclampsia, such as intracranial hypertension, but does not directly stabilize the patient during an acute seizure.

Choice G rationale

Assessing deep tendon reflexes helps monitor neurological status and the effectiveness of magnesium sulfate therapy, guiding further treatment decisions to prevent complications.

Choice H rationale

Minimizing visitors reduces environmental stimuli, which can help lower stress levels and prevent triggering additional seizures, contributing to the patient's stabilization.