Amelia Sung is a 36-year-old Filipino female, G2P1 (L1) at 39 weeks of gestation, who was admitted 24 hours ago for induction of labor. First-born male
delivered vaginally 3 years and 3 months ago. Weight: 3,345 g (7 lb 6 oz). Length 55 cm (22 in).She was started on oxytocin at 1 mL/1 mU, and the infusion
was increased throughout the day per protocol. A mainline IV of lactated Ringer’s is running at 125 mL/hr, and oxytocin (30 units in 500 mL normal saline) is
running at 20 mU/min (20 mL/hr).Her cervical exam at admission was 2 cm dilation, 80% effaced, at -1 station, with fetus in vertex position. At 0100 hours,
dilation was 4 cm, 100% effaced, still at -1 station and fetus in vertex position. She received an epidural shortly after that, and 1 hour later, her membranes
ruptured; the fluid was clear.Three hours ago, she was fully dilated and started pushing. The fetal heart rate has been stable with a baseline of 120/min,
moderate variability, and early decelerations since she started pushing. She is getting tired from pushing, and the descent of the fetal head has been
slow.During the past few contractions, the baby has started to crown. The provider has been called and has arrived, so Amelia may continue pushing.
Reference: Ricci, S., Kyle, T., and Carman, S. (2021). Maternity and Pediatric Nursing, 4th Edition.Medical-Surgical Nursing CareDystocia, Chapter 21, pp. 768-
778Medical-Surgical Nursing CareDiagnosis and Management of Common Problems Associated with Dystocia, Chapter 21, Table 21.1, pp. 770-774MedicalSurgical Nursing CareDiabetes and Pregnancy: Effects on Mother and Fetus, Chapter 20, Table 20.2, p. 707Medical-Surgical Nursing CareProblems with the
Passenger, Chapter 21, pp. 775-777Medical-Surgical Nursing CareProblems with the Psyche, Chapter 21, p. 777Medical-Surgical Nursing CareWomen
Requiring Labor Induction and Augmentation, Chapter 21, pp. 786-792Medical-Surgical Nursing CareTrauma, Chapter 22, p. 811PharmacologyExpert Clinical
Content from Lippincott AdvisorPharmacologyOxytocinProceduresExpert Clinical Content from Lippincott ProceduresPharmacologyMcRoberts Maneuver,
Assisting
For this short paper activity, you will learn about the three delays model, which explains…
Topic : Hospital adult medical surgical collaboration area a. Current Menu Analysis (5 points/5%) Analyze…
As a sales manager, you will use statistical methods to support actionable business decisions for Pastas R Us,…
Read the business intelligence articles: Getting to Know the World of Business Intelligence Business intelligence…
The behaviors of a population can put it at risk for specific health conditions. Studies…