Scenario
- The couple have expressed a desire for non-pharmacological pain control during the labor. Describe the Gate-Control Theory of pain and discuss three methods of assisting the couple to achieve their goal of non-pharmacological pain control during the labor.
- The client calls the unit and tells a nurse that she thinks she is in labor. “I have had some pains for about 2 hours. Should my husband bring me to the hospital now?â Describe how a nurse should approach this situation.
- Write at least 3 questions a nurse would ask to elicit the appropriate information required to determine the course of action required. (Write out as if you were the nurse answering the phone)
- Based on the data collected during the telephone interview, the nurse determines that Mercy is in very early labor. Because she lives fairly close to the hospital, she is instructed to stay home until her labor progresses. Outline the instructions and recommendations (cite references and provide rationale) for care Mercy and her husband should be given for the nursing diagnosis: Readiness for enhanced knowledge of labor progression RT lack of exposure
- A week later, Mercy arrives to Labor and delivery at 39 weeks gestation. A nurse uses Leopoldâs maneuvers to assess the position of the baby in the uterus. A soft round mass is felt in the fundal region. A flat object is noted on the left and small objects are noted on the right of the uterus. A hard round mass is noted above the symphysis. The nurse would document which position consistent with these findings?
- The nurse notes on the labor record that the fetal heart tracing has the following: contraction frequency every 3 minutes, fundus palpates the same consistency as the forehead at the peak of contractions; fetal heart tones 140 bpm, early decelerations with each contraction and return to baseline, variability moderate. Explain what this assessment means.
- D.H. is admitted to labor and delivery for a labor induction with pitocin. Describe the procedure for pitocin induction.
a. What are the nursing responsibilities for safe administration of pitocin?
b. What are three potential complications? - D.H. complains of increasing headache, proteinuria is +3, and DTRâs are +3. Vital signs include Bp 154/94 mmHg, pulse 92. What is the primary concern based upon this assessment?
- The physician orders magnesium sulfate infusion 4 gram bolus over 30 minutes, then 2 gm per hour. The pharmacy sends up an IV bag of 1 liter Lactated Ringers with 40 mg magnesium sulfate for a secondary line. Describe the procedure for magnesium sulfate infusion.
a. What is the purpose for administering this medication?
b. At what rate will the bolus be administered in mL/hr?
c. Describe the adverse effects of magnesium sulfate administration.
d. What are the nursing responsibilities for safe administration of MgSO4? - D.H. is being induced for labor for the past 2 hours and her cervix is 5 cm/ 80%/ 0 station. Membranes are ruptured for one hour of light yellow, colored amniotic fluid.
Sample Solution
d by a letter from the fourteenth Earl of Morton, President of the Royal Society in London, who had composed the undertaking (informative supplement G). The journey was proposed to be the ideal portrayal of the Enlightenment, promoting logical research and revealing the privileged insights of the last obscure quarter of the world, not one of savagery and loot. It is thusly evident that these guidelines were dismissed when Cook’s campaign arrived at their goal, taking part in brutality on various events. Beside exchange, at no time were these first experiences constructive for the indigenous individuals. The underlying contact that Captain Cook’s campaigns had made with land in the Southern half of the globe had made tremendous fervor in England. For the European countries, domain was an effort of intensity and a materialistic trifle in Europe, just as a financial chance. English undertakings started with John Cabot’s 1497 campaign under Elizabeth I because of the developing Spanish nearness in South America, however found that they couldn’t make any increases even with Spanish maritime and business predominance, so directed their concentration toward so far unfamiliar region. At the point when Cook found islands on his first journey (1768-71), thusly, there was an assurance to set up a similarly rewarding exchange to that which England’s incredible opponent Spain delighted in from their states. As it immediately became obvious that the islands were not wealthy in the valuable common assets prized in Europe, consideration went to the individuals possessing them. Having seen the colossal achievement of the triangular slave exchange from Africa, a comparative model was utilized with islanders known as ‘blackbirding’, in which laborers were either honestly shipped or captured to work three-year terms. The work exchange was sought after in Crown states, both in South America for mining and in Queensland, Australia to help the work escalated sugar manors that were creating there. An expected 62,500 Islanders were brought to Queensland somewhere in the range of 1863 and 1904. (3) A whole industry was made around the South Pacific work exchange,>
d by a letter from the fourteenth Earl of Morton, President of the Royal Society in London, who had composed the undertaking (informative supplement G). The journey was proposed to be the ideal portrayal of the Enlightenment, promoting logical research and revealing the privileged insights of the last obscure quarter of the world, not one of savagery and loot. It is thusly evident that these guidelines were dismissed when Cook’s campaign arrived at their goal, taking part in brutality on various events. Beside exchange, at no time were these first experiences constructive for the indigenous individuals. The underlying contact that Captain Cook’s campaigns had made with land in the Southern half of the globe had made tremendous fervor in England. For the European countries, domain was an effort of intensity and a materialistic trifle in Europe, just as a financial chance. English undertakings started with John Cabot’s 1497 campaign under Elizabeth I because of the developing Spanish nearness in South America, however found that they couldn’t make any increases even with Spanish maritime and business predominance, so directed their concentration toward so far unfamiliar region. At the point when Cook found islands on his first journey (1768-71), thusly, there was an assurance to set up a similarly rewarding exchange to that which England’s incredible opponent Spain delighted in from their states. As it immediately became obvious that the islands were not wealthy in the valuable common assets prized in Europe, consideration went to the individuals possessing them. Having seen the colossal achievement of the triangular slave exchange from Africa, a comparative model was utilized with islanders known as ‘blackbirding’, in which laborers were either honestly shipped or captured to work three-year terms. The work exchange was sought after in Crown states, both in South America for mining and in Queensland, Australia to help the work escalated sugar manors that were creating there. An expected 62,500 Islanders were brought to Queensland somewhere in the range of 1863 and 1904. (3) A whole industry was made around the South Pacific work exchange,>
