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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

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

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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Read and analyze the clinical scenario below. Apply the nursing process in answering the concept map for the given 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 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 in 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 the shoulders with the next three contractions but this had not been achieved.
Transcribed Image Text:Read and analyze the clinical scenario below. Apply the nursing process in answering the concept map for the given 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 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 in 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 the shoulders with the next three contractions but this had not been achieved.
RLE Task: Make a Nursing Care plan on the client described in the Clinical scenario above. Be prepared for an Oral presentation of your NCP in class.
Transcribed Image Text:RLE Task: Make a Nursing Care plan on the client described in the Clinical scenario above. Be prepared for an Oral presentation of your NCP in class.
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