SophiaPretty

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Category > Science Posted 10 Oct 2017 My Price 7.00

Hi there here is an attachment that I need help with. Thank you.

Marvis is a 29-year-old G1P0 in labor at 40 weeks of gestation. She was admitted at 0200 with a historyof contractions since 2200 the night before. Upon admission she denied spontaneous rupture ofmembranes or vaginal bleeding. She felt good fetal movement. Her vital signs and the fetal heart ratewere normal. Her contractions were every 6 minutes and lasting 30 seconds. Her cervical exam was 2cm/ 70%/−2 vertex. It is now 0600, and she has been reexamined. Her cervical exam is now 3 cm/90%/−2 vertex. Her contractions are now every 4 to 5 minutes lasting 60 seconds. She states they are stillmild. Marvis has stated that she wants a natural unmedicated birth.1.In what stage of labor is Marvis?2.Marvis expresses disappointment in her progress. What can the nurse do to help her at thispoint in her labor?3.It is now 1000 and Marvis states the contractions have become much stronger. She nowneeds to utilize breathing techniques to cope with the contractions. She declines painmedication. Her cervical exam is now 5 cm /100%/0 station. In what stage of labor is Marvisat this time?4.What nursing care is indicated at this phase of labor?5.Marvis is now perspiring profusely and shaky. She feels she can’t cope any longer. Shepushes away her husband as he tries to rub her back. An increased amount of bloody showis present. She also reports a gush of fluid. Even without a cervical exam, what phase oflabor is Marvis most likely in?6.A cervical exam at 1300 confirms the transition phase as Marvis is 8 cm /100%/0 stationwith spontaneous rupture of membranes with clear fluid. What nursing care is indicated atthis time?7.Marvis managed to cope well through transition by going into the shower. She now reportsan urge to push. A cervical exam at 1600 reveals that Marvis is still 8 cm /100%/0 station.Fetal heart rate is normal and maternal vital signs are normal. She is distraught at her lackof progress and states she can’t do it anymore. What nursing care is appropriate at thistime?8.Nursing assessment reveals an abdominal mass just above the symphysis pubis. What is alikely explanation and what should be done?
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SophiaPretty
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Status NEW Posted 10 Oct 2017 08:10 AM My Price 7.00

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