a. Premature labor and birth refers to a baby born “before its time,” that is, before the end of the 37th gestational week.

Premature babies are likely to suffer respiratory distress. Medications may be administered to suppress the patient’s labor. The medications are Brethine®, terbutaline, nifedipine, indomethacin, and magnesium sulfate.

b. Nursing implications are listed below.

(1) Monitor the patient who is receiving medications for hypotension and tachycardia. Report vital signs to your immediate supervisor.

(2) Be alert to the patient’s psychological and spiritual needs. She may be frightened and anxious. Her labor will be very demanding since her baby is not fully prepared.