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Case Studies Essentials of Maternity, Newborn, and Women's Health Nursing Chapter 21: Nursing Management of Labor and Bi...

Case Studies Essentials of Maternity, Newborn, and Women's Health Nursing Chapter 21: Nursing Management of Labor and Birth at Risk . These not answered. 2. Carol, age 17, is pregnant with her first child. Her menstrual dates are accurate and her date of conception is limited to one possible day. Her physician gives her an EDC of March 28th. Carol has gone past her due date and refuses to have her labor induced. Carol states, “My grandmother says that the baby will come when it is good and ready.” It is now April 14th and Carol is at 42 3/7 weeks' gestation. She calls the office and reports that she is having a significant lower backache and she just passed “a glob of bloody mucus” from her vagina. (Learning Objective 5) A. Discuss the risks a prolonged pregnancy places on Carol. B. What risks are there for Carol’s unborn baby? C. Describe the nursing care required for women in labor with a prolonged pregnancy.

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1. RSK OF PROLONGED PREGNANCY ON CAROL :

  • Perineal team or injury : Due to prolonged pregnancy the size of the fetus may be too large which can injure or harm the perineal region during delivery.
  • Stress : Carol may go through stress due to prolonged delivery.
  • Need for instrumental or vaccum assisted deivery which not only harms the baby but also Carol
  • Post partum complications
  • Neonatal complications.
  • In some cases death.

2. RISK FOR CAROL's UNBORN BABY :

  • Macrosomia : It is very common in prolonged delivery where the babies tend to be much larger than normal.
  • Injury : The instrumental delivery can cause injury to baby.
  • Meconium aspiration : Meconium aspiration happens when the baby passes its feces in the womb whic then gets diluted in the amniotic fluids around it. Aspiration happens when the baby inhales the fluids which then passes through its lungs therefore causing many respiratory complications for example pneumonia is very common.
  • Shoulder dystocia.

3. NURSING CARE FOR WOMEN IN LABOR WITH A PROLONGED PREGNANCY :

  • We must calm down the patient's anxiety and release the stress.
  • Monitor Carol's vital sign.
  • Provide comfortable position.
  • Administer inj. oxytocin or pitocin which is basically a hormone which will help the uterus to contract.
  • Record fetal movement and its heart rate.
  • Record all the findings.
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