Question

In: Nursing

Renee is a 22-year-old G2P0 at 42 weeks of gestation in active spontaneous labor. Her pregnancy...

Renee is a 22-year-old G2P0 at 42 weeks of gestation in active spontaneous labor. Her pregnancy has been complicated by mild hypertension, but no medications were needed. She is 4 cm/100%/0 station, vertex position. Her membranes have just ruptured, and there is thick meconium staining. She is comfortable and utilizing epidural anesthesia.
1.   What risk factors are present that may impact the way this fetus tolerates labor?

2.   The fetal heart rate shows a rate of 140, moderate variability, no accelerations, and decelerations to 120 beginning after the peak of most contractions and recovering to baseline 30 seconds after the contraction ends. Contractions are every 4 minutes. How should the nurse describe this pattern? (I suggest drawing this out on a piece of paper to really “see” it)

3.   What should the nurse do at this point?

4.   Renee is now 8 cm/100%/0 station. She is in the left lateral position with oxygen at 8 L/min. The fetal heart rate is 145. There is moderate variability. Accelerations are not present. There are decelerations in the fetal heart rate beginning at the onset of a contraction, descending to 120 with recovery by the end of a contraction. The contractions are every 3 minutes now. How would the nurse describe the fetal heart rate pattern now?

5.   Renee is now completely dilated and +1 station. She has been instructed to push with every contraction. The fetal heart rate is now 164. There is absent variability and decelerations to 120 are occurring with maternal pushing that do not resolve until 30 seconds after the contraction. The contractions are every 1½ minutes. What should the nurse do in this situation?

Solutions

Expert Solution

Q1- ANSWER:

The risk factors present in the labour for the foetus is risk of meconium aspiration, the foetus may chance to aspirate the meconium during the labour.

Q3- Answer:

In this situation reene is not Having the acceleration and deceleration and foetal heart rate is 140 and contractions are occurring every 4 minutes. In this stage it is very difficulty to deliver the baby. Advice her to provide oxytocin drip inorder to improve the contractions. Monitor the vital signs every 15 min.

Q4- answer:

The foetal heart rate is 145 beats per minute and they is no acceleration and decelerations begins 120 at the end of contractions. So the foetal heart rate is increasing while the declaration begins. In the later stage the foetal heart rate will be increase.

Q5- answer:

This is the peaks stage for the reene because here the cervix is fully dialated and foetal head is +1 station and foetal heart rate is 164 b/m. The contractions are occurring within one and half min.

  • Oxygen administration
  • Oxytocin drip
  • Episotomy prepare for the normal delivery
  • Monitor blood pressure.

?Q2 answer:

Nightingale answered 2 years ago
Next > < Previous

Related Solutions

Renee is a 22-year-old G2P0 at 42 weeks of gestation in active spontaneous labor. Her pregnancy...
Renee is a 22-year-old G2P0 at 42 weeks of gestation in active spontaneous labor. Her pregnancy has been complicated by mild hypertension, but no medications were needed. She is 4 cm/100/0 station, vertex position. Her membranes have just ruptured, and there is thick meconium staining. She is comfortable and is using epidural anesthesia. Answer the following 1. What risk factors are present that may affect the way this fetus tolerates labor? 2. The fetal heart rate shows a rate of...
Renee is a 22-year-old G2P0 at 42 weeks of gestation in active spontaneous labor. Her pregnancy...
Renee is a 22-year-old G2P0 at 42 weeks of gestation in active spontaneous labor. Her pregnancy has been complicated by mild hypertension, but no medications were needed. She is 4 cm/100/0 station, vertex position. Her membranes have just ruptured and there is a thick meconium staining. She is comfortable and is using epidural anesthesia. 1. What risk factors are present that may affect the way this fetus tolerates labor? Explain your answers Renee is now completely dilated and +1 station....
Renee is a 22-year-old G2 P0 at 42 weeks of gestation in active spontaneous labor.
CASE STUDY 2Renee is a 22-year-old G2 P0 at 42 weeks of gestation in active spontaneous labor. Her pregnancy has been complicated by mild hypertension, but no medications were needed. She is 4 cm/100/0 station, vertex position. Her membranes have just ruptured, and there is thick meconium staining. She is comfortable and using epidural anesthesia.What risk factors are present that may impact the way this fetus tolerates labor?The fetal heart rate shows a rate of 140, moderate variability, no accelerations,...
Susan is 42 weeks’ gestation. Her pregnancy has been uneventful except for a diagnosis of gestational...
Susan is 42 weeks’ gestation. Her pregnancy has been uneventful except for a diagnosis of gestational diabetes. She is 10 cm dilated and 100% effaced. She begins to push, the fetal head comes out and goes back in. What is this called? What do you suspect is happening? What steps would you take to deliver this baby? How may this affect the baby and why?
Tina is a 42-year-old G1P0 at 35 weeks of gestation who has been sent to labor...
Tina is a 42-year-old G1P0 at 35 weeks of gestation who has been sent to labor and delivery for evaluation from her physician’s office. Today at her routine prenatal visit, her blood pressure was 160/95 mm Hg. On chart review, the nurse notes that her first trimester blood pressure readings were 120 systolic over 70 diastolic, and her second trimester readings were 110 systolic over 70 diastolic. The third trimester readings were 130 systolic over 70 to 80 diastolic until...
Laurie is a 32-year-old primigravida at 40 weeks of gestation who is admitted to the Labor...
Laurie is a 32-year-old primigravida at 40 weeks of gestation who is admitted to the Labor and Delivery unit in early labor. She has no known risk factors. Her bag of waters is intact, and she is 3 cm dilated, 90% effaced, and –1 station. The fetal heart rate is 120 with moderate variability, and she is contracting 3 to 4 minutes apart for 60 seconds. As a woman progresses through the stages of labor, various body system adaptations will...
Laurie is a 32-year-old primigravida at 40 weeks of gestation who is admitted to the Labor...
Laurie is a 32-year-old primigravida at 40 weeks of gestation who is admitted to the Labor and Delivery unit in early labor. She has no known risk factors. Her fetal heart rate is 120 bpm with moderate variability, and she is contracting 3 to 4 minutes minuted apart for 60 seconds. 1. As a woman progresses through the stages, various body system adaptatations will occur. What are the risks to the maternal fetal unit as a result? 2. what are...
Marvis is a 29-year-old G1P0 in labor at 40 weeks of gestation. She was admitted at...
Marvis is a 29-year-old G1P0 in labor at 40 weeks of gestation. She was admitted at 0200 with a history of contractions since 2200 the night before. On admission, she denied spontaneous rupture of membranes or vaginal bleeding. She felt good fetal movement. Her vital signs and the fetal heart rate were normal. Her contractions were every 6 minutes and lasting 30 seconds. Her cervical examination was 2 cm/70%/−2 vertex. It is now 0600 and she has been reexamined. Her...
Marvis is a 29-year-old G1P0 in labor at 40 weeks of gestation. She was admitted at...
Marvis is a 29-year-old G1P0 in labor at 40 weeks of gestation. She was admitted at 0200 with a history of contractions since 2200 the night before. On admission, she denied spontaneous rupture of membranes or vaginal bleeding. She felt good fetal movement. Her vital signs and the fetal heart rate were normal. Her contractions were every 6 minutes and lasting 30 seconds. Her cervical examination was 2 cm/70%/−2 vertex. It is now 0600 and she has been reexamined. Her...
Laurie is a 32-year-old primigravida at 40 weeks of gestation who is admitted to the Labor...
Laurie is a 32-year-old primigravida at 40 weeks of gestation who is admitted to the Labor and Delivery unit in early labor. She has no known risk factors. Her bag of waters is intact, and she is 3 cm dilated, 90% effaced, and –1 station. The fetal heart rate is 120 with moderate variability, and she is contracting 3 to 4 minutes apart for 60 seconds. As a woman progresses through the stages of labor, various body system adaptations will...
ADVERTISEMENT
Subjects
ADVERTISEMENT
Latest Questions
ADVERTISEMENT