Question

In: Nursing

Susan is 42 weeks’ gestation. Her pregnancy has been uneventful except for a diagnosis of gestational...

  1. 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?

Solutions

Expert Solution

A) The condition of the patient is considered to be the obstructed labour. It is also known as labour distocia. Obstructed labour is the abnormal condition that usually occure during the normal process of delivery. in this condition baby is not descendng down further through the birth canal. The progression of labour is prolonged due to the mechanical causes.

B) The mother is having gestational diabetes. In such cases the baby will be large bab. Therefore the baby might not be able to deliver throght the birth canal as normal and usual.Another cause for the condition might be the following

* shoulder distocia

* huge baby

* abnormal positioning of the baby

abnormal baby size due to the gestational diabetes is the main cause for the obstructed labour in the patient.

C) The condition can be treated by the following methods:

* Cesarean section should be conducted to deliver the baby

* Vaccum extraction can be used to deliver the baby

* Vaccum delivery along with the combination of using the surgical opening of the symphisis pubis.

Other important things to be followed are:

-Antibiotic administration to the patient if the rupture of the membrabe had already occured

- Frequent monitring of the fetal status

- Frequent monitoring of the mother

- Maintaing the hydraiton status of the mother

- Maintain strict monitoring using partograph

D) Obstructed labour and its affect on the fetus or the baby:

* CHild will be affected with hypoxia leading to fetal death . ( this is due to the prolongation of the actuve phase of labour for more than 12 hours.)

* Shoulder distocia can occure in the child which results in the obstruction in normal delivery.( this is because the malpresenetation or the positionig of the fetus will cause shoulder to get obstructed over the pelvic cavity or at the symphisis pubis.)

* Maternal complications are also present due to this condition of labour distocia

eraern

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 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...
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....
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...
Part 1 Tina is a 42-year-old G1 P0 at 35 weeks of gestation who has been...
Part 1 Tina is a 42-year-old G1 P0 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. On chart review, the nurse notes that her first trimester blood pressures were 120s/70s and her second trimester readings were 110s/70s. The third trimester readings were 130s/70s-80s until today. What questions should the nurse ask Tina as part of her admission interview?...
Susan is a 26-year-old G1 P0 at 6 weeks gestation with type 2 diabetes. Her BMI...
Susan is a 26-year-old G1 P0 at 6 weeks gestation with type 2 diabetes. Her BMI is 32. Her hemoglobin A1C is 9. She uses glybride 10mg po daily. The physician has switched her to insulin at this time. What is the nursing priority at this time?
The client has come to the clinic for her first prenatal visit at 18 weeks gestation....
The client has come to the clinic for her first prenatal visit at 18 weeks gestation. After the nurse explains the prenatal visit schedule. The client states, “I don’t really see any need to come back until I go into labor.” How should the nurse respond? A woman who had twins, then one preterm infant, and is now pregnant again, what is her OB score? (GP TPAL). The client who is 28 weeks gestation complains of fatigue. She reports difficulty...
A woman in her 40s is around 34 weeks gestation and is sent to the hospital...
A woman in her 40s is around 34 weeks gestation and is sent to the hospital for labor and delivery by her health care provider due to a BP of 165/90 which is high compared to her normal. Suspecting preeclampsia what are questions a nurse should ask on admission? What are physical assessment data that must be collected?
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,...
Case Scenario: Ruba is a 39 years old, pregnant woman at 8 weeks gestation, and her...
Case Scenario: Ruba is a 39 years old, pregnant woman at 8 weeks gestation, and her husband, Ali, is 50 years old, arrives at antenatal clinic for follow-up. The couples have been married for 12 years. Ruba completes the initial paperwork, and the nurse notes the following obstetric history: G6 T0 P0 A5 L0 M0. Ruba and Ali asked the nurse many questions regarding Down syndrome as Ali’s sister, recently, has a boy with Down syndrome. Q1: As Ruba has...
ADVERTISEMENT
Subjects
ADVERTISEMENT
Latest Questions
ADVERTISEMENT