Question

4. Upon examination, D.H. is 80% effaced and 4 cm dilated. The fetal heart rate (FHR) is 150 beats/min and regular. She is admitted to a labor and delivery room on the unit. What nursing measures should be done at this time? 5. List the stages of labor. D.H. is in what stage of labor? 6. D.H. states that she is feeling discomfort and asks you whether there is alternative therapy available before taking medication. List at least four alternative methods to assist D.H. with controlling her discomfort. 7. As you assess both the mother and the fetus during the active stage of labor, you will look for abnormalities. Which of these are potential abnormalities during labor? (Select all that apply.) a. Unusual bleeding b. Brown or greenish amniotic fluid c. Contractions that last 40 to 70 seconds d. Sudden, severe pain e. Increased maternal fatigue 8. Put these actions in order of priority: a. Discontinue the oxytocin infusion. b. Turn D.H. onto her left side and elevate her legs. c. Increase the rate of the maintenance IV fluids. _d. Administer oxygen at 8-10 L/min by facemask. 9. Decelerations occur in an early, variable, or late pattern. What is the significance of these patterns? State what the nurse should do for each type 10. As you monitor D.H., you observe for prolapse of the umbilical cord. Describe what this is and what can happen to the fetus if this occurs. 11. What would be done if you noted that D.H. had a prolapsed cord? 12. What is involved in the immediate care of the newborn?

Answer 1

4.The nursing measures to be done are

• Provide psychological support and reassure the patient
• Encourage the mother to do breathing exercises to relax herself
• Encourage and provide support go walk for good progress of labour and change of position
• Massage can be helpful (abdomen, lower back)
• Music therapy can be initiated
• Provide adequate water

5.DH is in First stage of labor namely Active phase of labor. In this phase the cervix is dilated in between 3 to 7cm lasting for about 3 to 5 hours.

6.The alternative therapy are

• Massages
• Music
• Reading
• Mobilization
• Luke warm bath

7.Bleeding does not occur ,it may occur in case of any injury

The amniotic fluid if it is green or brown means the fetus has passed meconium

The contraction lasts somewhere about 45 seconds to 1 minute.

Increase fatigue means the mother is not in a stage of receiving enough glucose and causing pressure on the labor

Contraction will be stronger during this phase but will not be severe

Ans:Unusual bleeding

Brown or greenish amniotic fluid

Sudden,severe pain

Increased maternal fatigue