Nursing Care of Women with Complications During Labor and Birth…

Question Answered step-by-step Nursing Care of Women with Complications During Labor and Birth… Nursing Care of Women with Complications During Labor and BirthCASE STUDIES 1. Cara, a 24-year-old gravida 2, para 1, is in early labor with her second baby. Her cervix is 3 cm dilated and 75% effaced; fetal station is 0. Contractions are every 4 minutes, 30-35 seconds in duration, and of moderate intensity. The nurse-midwife performs an amniotomy. A small amount of light-green fluid drains on the underpad. a. Use your birth facility’s standard form as a worksheet to chart this information about Cara’s labor. If the facility charts with a computer, write in the information that would be documented on computer. b. Is the color of the amniotic fluid significant? c. What nursing interventions are appropriate specific to the situation above? Would other care providers in your facility be notified of these findings? List any providers who would be notified. d. Describe observations that would suggest that the amniotomy caused complications of any kind. e. If Cara’s baby boy were born in a forceps-assisted birth, what observations should the nurse make in each area listed below? What observations would be significant in terms of complications? 1. Skin 2. Shape of head 3. Appearance when crying f. give simple explanation to parents about the appearance of the infant’s head if his birth was assisted with a vacuum extractor.2. Jennifer, a 32-year-old, is in spontaneous labor at term gestation of 39 weeks. Eight weeks ago, she was in a motor vehicle accident. She had a mild head injury and has recovered well. Greatest trauma occurred in her lower body, and includes fracture of her left pelvis and left femur. Jennifer remains in a long leg cast at labor onset. She needs an indwelling catheter for urine drainage related to epidural block analgesic and the needed infusion of large quantities of IV fluid. a. How can you adapt insertion of the indwelling catheter to maintain sterile technique? b. Describe how you used critical thinking to modify the standard catheter insertion technique for a person with no impairments. c. What problem(s) did you solve? d. How will your solution help prevent additional problems for Jennifer? Health Science Science Nursing Share QuestionEmailCopy link Comments (0)

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