NOTE: The physician should be notified immediately if any of the above (paragraph
8-6a(3)) symptoms appear. It may be an infection.
Treatment/nursing intervention consists of:
(a) Reassuring the patient that this is normal. Tell the patient to use
perineal pads and to change them frequently. Also, to cleanse the vulva at least once a
day with soap and water and to dry thoroughly.
Advising the patient to maintain good hygiene.
b. Braxton Hicks' Contractions. These are mild, intermittent, usually painless,
uterine contractions. These contractions are in the preparation for the work of labor.
Treatment/nursing interventions consist of advising the patient:
That these are normal contractions.
To get plenty of rest.
To change position as often as possible.
To practice breathing techniques when contractions are bothersome.
DISCOMFORTS RELATED TO THE URINARY SYSTEM
(1) This is caused by the vascular engorgement and altered bladder
function. It is caused by an increase in hormones and by the reduction of bladder
capacity. This is due to the enlarging uterus and fetal presenting part.
NOTE: The presenting part is that part of the fetus which lies closest to the internal os
of the cervix.
Nursing interventions consist of advising the patient:
That this is normal.
To limit fluid intake before bedtime to ensure rest.
To wear perineal pads.
Notify the physician if pain or burning is noted.