Sharry is a primigravida at 43 weeks of gestation. Her labor is being stimulated with oxytocin administered IV. Her contractions have been increasing in intensity with a frequency of every 2 to 2 ½ minutes and a duration of 80 to 85 seconds. She is currently in supine position with a 30-degree elevation of her head. On observation of the monitor tracing, you note that during the last 2 contractions the FHR decreased after the contraction peaked and did not return to baseline until about 10 seconds into the rest period. A slight decrease in variability and baseline rate was observed. Identify the pattern described and the possible factors responsible for it. Describe the actions you would take. State the rationale for each action. Make a nursing care plan. (Identify at least 2 nursing diagnoses)

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
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Please I need two nursing care plan with two nursing diagnosis for this case scenario

     Sharry is a primigravida at 43 weeks of gestation. Her labor is being stimulated with oxytocin administered IV. Her contractions have been increasing in intensity with a frequency of every 2 to 2 ½ minutes and a duration of 80 to 85 seconds. She is currently in supine position with a 30-degree elevation of her head. On observation of the monitor tracing, you note that during the last 2 contractions the FHR decreased after the contraction peaked and did not return to baseline until about 10 seconds into the rest period. A slight decrease in variability and baseline rate was observed.

  1. Identify the pattern described and the possible factors responsible for it.
  2. Describe the actions you would take. State the rationale for each action.
  3. Make a nursing care plan. (Identify at least 2 nursing diagnoses)
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