Question

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첵 9 High Risk Maternal Case Study-This case study needs to be posted to your portfolio after grading Student name: Stephanie Marks is a 31 year-old female, who presents to the OB unit with "contractions that are 3 minutes apart and lasting abouta has some vaginal bleeding that started about one hour ago. She admits to using marijuana to help with nausea throughout her pregn moderation" throughout her pregnancy as well. She has had erratic prenatal care, missing several of her appointments due to transp weeks pregnant with triplets, gravida 4 para 1. She is assisted to a birth suite. She is accompanied by her partner Eduardo Silvas an What concerns do you have initially? minute". She states that d to drinking "in on issues. She is 31 ncy an 3 year old son, Anthony d her nlate or The external fetal monitor shows the following Baby A has a fetal h Baby B appears to have a FHR baseline of 120bpm with late deceleratio Baby C has a fetal heart rate of 130bpm with minimal variability Wh eart rate of 120bpm with an occasional acceleration noted and moderate variability ns down to the 90s with each contraction. at interventions should be completed at this time? (Be sure to also include education to the patient and her partner Prioritize interventions intervention rationale CDM QUDIC or eing todlekimine the be os achon ho ke icto arel no

Can you assist me with this question please, i started working on it but am unsure , it has two sections the other section i will post below, thanks for your assistance

Answer 1

Answer :

Prioritize interventions : and rationales :

1. provide the comfortable position to the mother, that is left lateral position with support of pillows.

To make comfortness to the mother so she may feel better.

2. Check the vital signs of mother, if she may have hypotension due to bleeding.

It will provide baseline data to plan nursing care for clients.

3. Conform the labour pains, whether those are true pains or false pains, by maintaining contractions monitoring according to there characteristics.

To conduct labour with in the time and to avoid complications.

4. If regular contractions are there see the dilatation of cervix by doing per vaginal examination.

To know whether it is true labour or false, if it is more than 4 cm and also increasing dilatation and effacement according to the contractions maintain partograph.

5. While doing PV check the rupture of membranes, ruptured and bleeding means indicates need immediate delivery of the babies because they are having fetal heart rate is 120 and 130 beats per minute.

To avoid fetal distress, normal fetal heart rate is 120 to 160 beats per minute.

6. Administer intravenous fluids by accessing intravenous line.

To prevent dehydration.

7. If there is no dilatation of cervix and pains or contractions are continues refer the pregnant women to cesarean section.

* to deliver babies safely. Because the mother is having bad habits of marijuana and alcoholism , so there is a chance of preterm labor. So we need to find the true or false labor and send to the cesarean section.

8. Continuous monitoring should be done.

To avoid labour complications like hypoglycemia and hypovolemia.