Question

car ige0800 Suzanne Nethers is an excited and talkative 24-year-old (G1PO) kindergarten teacher mar- ried to Jeff, a 26-year-old computer analyst. She is admitted to the labor and delivery suite with signs of bloody show and contractions occurring every 16 minutes and lasting 20-30 seconds. Jeff reports to the nurse that she is doing really well with her breathing and that they are excited about having a natural childbirth. During the assessment the nurse finds the current preg- nancy, family, and medical history are normal; BP 128/64, P. 90, R.24. FHT are 140, strong and regular. Membranes are intact. A vaginal check reveals Suzanne to be 2 cm. dilated, 50% effaced, and at 0 station.

Answer 1

10.

Nursing diagnosis

• Acute Pain related uterine contractions

Nursing intervention:

1. Assess Uterine contractions
2. Notify vaginal examination
3. Maintain position
4. Assess the abdomen for hardness
5. Look at the medication per drops
6. Arrange all the equipment near the bedside