Midwifery Plan of Care for a Woman Gravida: 2 Parity: Gestational Age: 35 weeks Cramping suprapubic discomfort dysuria frequency and urgency no fever. Assessment Findings Cramping Suprapubic Discomfort:Common in late pregnancy due to uterine growth Braxton Hicks contractions.However must be monitored any signs preterm labour or complications. Dysuria (Burning/Stinging) Frequency Urgency: Possible urinary tract infection (UTI) especially given the complaint dysuria frequency. No fever indicates that this may not an acute pyelonephritis but still requires investigation treatment prevent progression more severe complications such as labour. Absence reduces concern systemic pyelonephritis UTI needs addressed avoid (Queensland Health Antenatal Guidelines) & Clinical Findings: Discomfort: Common contractions. Should (regular contractions cervical changes). Dysuria Suggestive requiring investigation. likelihood does exclude UTI. Pyrexia (No Fever): Reassuring infection management remains necessary Monitoring: Vital Signs: Blood pressure pulse respiratory rate temperature foetal heart rate. Urinalysis: Dipstick test check indicators (e.g. nitrites leukocytes protein). Urine culture sensitivity confirm guide antibiotic choice. Abdominal Examination: Assess tenderness tone size. Monitor contractions changes. Palpate position. Foetal Heart Rate Ensure rate is within normal limits (110–160 bpm). Evaluate movements.