abor. Four hours later, spontaneous rupture of membranes occurred. She was examined again and the cervix was still at 3 cm. An oxytocin infusion was started to augment labor with cardiotocograph monitoring. After 4 hours, the cervix was 7 cm. After 4 hours again, internal examination revealed 10 cm. She was then transferred to the delivery room. She was encouraged to start active pushing and 30 minutes later, the head had crowned a occipito-anterior position. The midwife noticed that the head did not extend normally on the perineum and that the chin appeared to be fixed in the perineum. She had attempted delivery of
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- You are working as a Labor and Delivery Nurse at a local hospital. Patient A.M., a 26 year old G3 P2 (2002) at 41 weeks of gestation came in having contractions and feeling uncomfortable. Upon internal examination, the cervix was found to be 3 cm dilated. Fundic height was noted to be 40 cm. She was then admitted for monitoring of labor and delivery. She was initially advised to continue mobilizing. Obstetrical history was taken and documented. Her first baby was delivered 4 years ago via normal spontaneous delivery with birthweight of 3,700 grams. The second baby was delivered 2 years ago via forceps delivery with birthweight of 3,900 grams. In this pregnancy, she was diagnosed to have gestational diabetes mellitus at 28 weeks age of gestation. Pelvic ultrasounds were normal and antennal care was unremarkable. The baby was moving actively normal prior to labor. Four hours later, spontaneous rupture of membranes occurred. She was examined again and the cervix…You are working as a Labor and Delivery Nurse at a local hospital. Patient A.M., a 26 year old G3 P2 (2002) at 41 weeks of gestation came in having contractions and feeling uncomfortable. Upon internal examination, the cervix was found to be 3 cm dilated. Fundic height was noted to be 40 cm. She was then admitted for monitoring of labor and delivery. She was initially advised to continue mobilizing. Obstetrical history was taken and documented. Her first baby was delivered 4 years ago via normal spontaneous delivery with birthweight of 3,700 grams. The second baby was delivered 2 years ago via forceps delivery with birthweight of 3,900 grams. In this pregnancy, she was diagnosed to have gestational diabetes mellitus at 28 weeks age of gestation. Pelvic ultrasounds were normal and antennal care was unremarkable. The baby was moving actively normal prior to labor. Four hours later, spontaneous rupture of membranes occurred. She was examined again and the cervix was still at 3 cm. An…Make a learning objective for this topic: topic: Basics of teenage pregnancy (Definition, Causes, Effects, Risks) Learning objective (should start with this line): 1. After ___ minutes of discussion, the client will 2. After ___ minutes of discussion, the client will 3. After ___ minutes of discussion, the client will
- Formulate a Nursing Care Plan based on the provided scenario You are working as a Labor and Delivery Nurse at a local hospital. Patient A.M., a 26 year old G3 P2 (2002) at 41 weeks of gestation came in having contractions and feeling uncomfortable. Upon internal examination, the cervix was found to be 3 cm dilated. Fundic height was noted to be 40 cm. She was then admitted for monitoring of labor and delivery. She was initially advised to continue mobilizing. Obstetrical history was taken and documented. Her first baby was delivered 4 years ago via normal spontaneous delivery with birthweight of 3,700 grams. The second baby was delivered 2 years ago via forceps delivery with birthweight of 3,900 grams. In this pregnancy, she was diagnosed to have gestational diabetes mellitus at 28 weeks age of gestation. Pelvic ultrasounds were normal and antennal care was unremarkable. The baby was moving actively normal prior to labor. Four hours later, spontaneous rupture of membranes…An internal examination of a 20 year old client revealed the following: cephalic presentation, cervix 3 cms dilated, 75% effaced, station is -1 frequency is 2-3 minutes, duration 45 seconds, moderate intensity. When asked to perform the partograph, which of the following indicates that the nurse needs further teaching?a.Latent phase of laborb. Active phase of laborc. There should be 2 contractions or more in 10 minutesd. Duration of contractions is 20 seconds or moreA client with an internal fetal monitor catheter in place has just received IV butorphanol (Stadol) for pain relief. Which of the following monitor tracing changes should the nurse anticipate? 1. Early decelerations. 2. Late decelerations. 3. Diminished short- and long-term variability. 4. Accelerations after contractions.
- A nurse is reinforcing discharge teaching to a new parent regarding cord care. What information should be provided? 2. A nurse is collecting data on a pregnant client who is 12-weeks of gestation. What three (3) findings should be reported to the provider? 3. A nurse is performing Leopold maneuvers on a pregnant client presenting to the labor and delivery unit in active labor. The nurse notes the following findings: PMI right upper quadrant above maternal umbilicus. The nurse suspects the infant is in what presenting position?A39- year-old woman in her first pregnancy delivered twin sons 2 hours ago. There were no significant antenatal complications . She had been prescribed ferrous sulphate and folic acid during the pregnancy as anemia prophylaxis , and her last hemoglobin was 10.9g / dL at 38 weeks . Which of the following nursing interventions would the nurse perform during this stage of labor? a. Coach for effective client pushing b. Promote parent interaction c. Assess uterine contractions every 30 minutes d. Obtain a urine specimen and other laboratory testsYou will continue to fill up the table using the same case scenario given in lesson 4. This time you will identify at least one nursing problem for each stages of labor and list at least 2 nursing interventions using the attached table. Case Scenario: Mrs. J. is a 25-y/o gravida 2, para 1, who was admitted at full term at 5:00 p.m. She stated that she had been having contractions at 8 to 10 minute intervals since 4 p.m. They lasted 25 seconds. She also stated that she had been having "a lot of false labor" and this makes her still able to feed and able to maintain a conversation and is getting excited. But now she hoped that this was "the real thing". Her membranes were intact. Mrs. J.'s temperature, pulse and respirations were normal and her blood pressure was 115/70. The fetal heart tones were 140 and regular. The nurse examined Mrs. J. and found that the baby's head was at +1 station, and the cervix was 4 cm. dilated and 70 percent effaced. As the labor progresses, there will be…
- NURSING CARE PLAN (please take note that the mother is postpartum already) Nursing Diagnosis Cues Analysis Goal Intervention Rationale Evaluation (with references) (Based on Nsg prob) Subjective Objective (at least 4 each) a. Brief explanation in narrative Goal: (specify if long term or short term) Risk for a. Independent (w/ EBN) (Supplemental) (With reference) Narrative uterine Based on infection objective r/t lochia form Objective and b. Parameters: Interdependent (Facilitative) c. Developmental b. Start from (Based on Etiology) Adequacy Effectiveness episiotomy diagnosis, to the etiology to symptoms then end point is the nursing problem Appropriateness Efficiency Acceptability SMART 1. The nurse will 1. After | 2. The nurse will 3. The nurse will minutes/hours/weeks, the client will 2. After minutes/hours/weeks, the 4. The nurse will client will 5. The nurse will 3. After minutes/hours/weeks, the client will 4.. After minutes/hours/weeks, the client willNER Which physical change would the nurse expec find in a pregnant client? Select all that apply. a. Increased blood volume b. Decreased clotting factors c. Supine hypotension d. Negative Hagar sign e. Increased hemoglobin Which interventions would a pregnant client b taught regarding dietary restrictions during pregnancy? Select all that apply. a. Discard foods that have been left out at rooLily accompanied by her husband come for her 6-week postpartal check-up. Lily, who has just become parent of an 7 lbs baby girl via normal spontaneous delivery in the nearby lying-in clinic. She reports that “Everything is good so far .” My husband, Mike is very supportive to me and my new baby. 1. What would you include in an assessment plant to ensure that the client has physically and emotionally adjusted well to childbirth? 2. How would you evaluate the family based on your observation? 3. Encouraged to share and discuss their answers to one another.