Read and analyze the clinical scenario below. Apply the nursing process in answering the conceptmap for the given scenario.You are working as a Labor and Delivery Nurse at a local hospital. Patient A.M., a 26 yearold G3 P2 (2002) at 41 weeks of gestation came in having contractions and feeling uncomfortable.Upon internal examination, the cervix was found to be 3 cm dilated. Fundic height was noted to be40 cm. She was then admitted for monitoring of labor and delivery. She was initially advised tocontinue mobilizing.Obstetrical history was taken and documented. Her first baby was delivered 4 years ago vianormal spontaneous delivery with birthweight of 3,700 grams. The second baby was delivered 2years ago via forceps delivery with birthweight of 3,900 grams. In this pregnancy, she wasdiagnosed to have gestational diabetes mellitus at 28 weeks age of gestation. Pelvic ultrasoundswere normal and antennal care was unremarkable. The baby was moving actively normal prior tolabor.Four hours later, spontaneous rupture of membranes occurred. She was examined againand the cervix was still at 3 cm. An oxytocin infusion was started to augment labor withcardiotocograph monitoring. After 4 hours, the cervix was 7 cm. After 4 hours again, internalexamination revealed 10 cm. She was then transferred to the delivery room.She was encouraged to start active pushing and 30 minutes later, the head had crowned ina occipito-anterior position. The midwife noticed that the head did not extend normally on theperineum and that the chin appeared to be fixed in the perineum. She had attempted delivery ofthe shoulders with the next three contractions but this had not been achieved. RLE Task:Make a Nursing Care plan on the client described in the Clinical scenario above. Be preparedfor an Oral presentation of your NCP in class.

Labor is the series of rhythmic or involuntary or progressive contraction of uterine which may cause…

abor. Four hours later, spontaneous rupture of membranes occurred. She was examined again and the cervix was still at 3 cm. An oxytocin infusion was started to augment labor with cardiotocograph monitoring. After 4 hours, the cervix was 7 cm. After 4 hours again, internal examination revealed 10 cm. She was then transferred to the delivery room. She was encouraged to start active pushing and 30 minutes later, the head had crowned a occipito-anterior position. The midwife noticed that the head did not extend normally on the perineum and that the chin appeared to be fixed in the perineum. She had attempted delivery of

abor. Four hours later, spontaneous rupture of membranes occurred. She was examined again and the cervix was still at 3 cm. An oxytocin infusion was started to augment labor with cardiotocograph monitoring. After 4 hours, the cervix was 7 cm. After 4 hours again, internal examination revealed 10 cm. She was then transferred to the delivery room. She was encouraged to start active pushing and 30 minutes later, the head had crowned a occipito-anterior position. The midwife noticed that the head did not extend normally on the perineum and that the chin appeared to be fixed in the perineum. She had attempted delivery of

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)

6th Edition

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Chapter5: The Therapeutic Approach To The Patient With A Life-threatening Illness

Section: Chapter Questions

Problem 5.3CS

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