Answered: Patient's Profile: You are on the labor…

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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DR WARD SCENARIO

Transcribed Image Text:Patient's Profile: You are on the labor room and called to see a 33-year-old woman in labor as the midwife is concerned with the cardiocotograph (CTG). She is 41 +2 weeks gestation and this is her first baby. The pregnancy was uncomplicated until 2 days ago when she developed mild hypertension, without proteinuria. In view of the gestational age a decision was made for induction of labor yesterday. She had 2 mg prostaglandin gel administered into the vagina at 6 pm last night and 6 am this morning. Spontaneous rupture of membranes occurred at 10 am today after which contractions commenced. Physical Examination: BP: 135/68 mmhg HR: 90/min Temperature: 37.1 C Laboratory findings: The CTG shows a baseline of 155 beats/min. with reduced variability (5-10 beats/min) and late decelerations. No accelerations are seen. The CTG is classified as abnormal. Contractions are 5 in 10. Fetal Blood Sampling result: pH: 7.10 Base excess: - 7.9 mmol/L Questions: 1. How do you interpret the fetal blood sample result? 2. How do you explain the CTG result and what are the implications? 3. Based on the result of CTG and considering the profile of the patient, what are the possible recommendation for nursing/medical/surgical management for her?

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