2. Evaluate the fetus for distress, size, and maturity (sonography and lecithinsphingomyelin ratio)
3. Perform measures to manage or stop preterm labor.
Place the client on bed rest in the side-lying position. Prepare for possible ultrasonography, amniocentesis, tocolytic drug therapy, and steroid therapy. Administer tocolytic (contraction-inhibiting) medications as prescribed. Assess for side effects of tocolytic therapy (e.g., decreased maternal blood pressure, dyspnea, chest pain, and FHR exceeding 180 beats/min).
4. Provide physical and emotional support. Provide adequate hydration.