Question

Chapter 1 Obstetrical Cases 11 Focus Questions 1. What stage and phase of labor is Suzanne currently experiencing? 2. What interventions are indicated in this stage and phase of labor? 3. During the vaginal assessment the nurse finds Suzanne is only 9 am., yet she continually wants to push. What should the nurse do and why? What if Suzanne were 10 am.? What if she was 10 cm. and did not have the urge to have a bowel movement or push? 4. According to practice standards, what documentation would be necessary for the nurse to include in the charting? Reflective Writing You are a new nurse on a labor and delivery unit. You observe that L & D nurses have a lot of "old practices" such as confining patients in a supine position for pushing. All of these nurses have been in practice longer than you have been alive. How could you influence a change in practice on this unit?

Answer 1

Q1 at 9cm dilation of cervix she in 1stage and active phase of labour

Beacuse 6-10cm dilation of cervix in active phase

Q2 wait till for full 10cm dilation of cervix in normal time period (1.2-1.5cm/hr Normal rate of cervix dilation)

After full dilation to delivery of baby 2nd stage of labour

Q3 after 10cm dilation and not urge to push check fetal station if >+2 station give oxytocin and try to deliver