The main goal of this online class is to engage in a discuss
The main goal of this online class is to engage in a discussion,… The main goal of this online class is to engage in a discussion, share materials and knowledge, and to learn from each other as we go.Dead Links, Wrong References, Wikipedia Citations, Kids Video sites will not be accepted and you will not get a reminder!Please provide proper citation with page numbers of the material you are referencing in your Main Post.Grading for participation in postings (Possible points: 10)15 points____ All s/sections are answered accurately, clear reference material is given10 points____ Some s/sections are answered accurately, clear reference material is given5 points____ The s/sections are answered but no clear indication is given or partial answer is given. 0 points____ No Assignment submitted. posted. No references provided. There is only vague unsubstantiated answer and no reference material given. Wikipedia materials. -Kids websites-“Copy and paste” materials, etc.Discussion TopicsCase Study #1Laurie is a 32-year-old primigravida at 40 weeks of gestation who is admitted to the Labor and Delivery unit in early labor. She has no known risk factors. Her membrane is intact, and she is 3 cm dilated, 90% effaced, and -1 station. The fetal heart rate is 120 bpm with moderate variability, and she is contracting 3 to 4 minutes apart for 60 seconds.As a woman progresses through the stages of labor, various body system adaptations will occur.What are the risks to the maternal-fetal unit as a result? What are the respiratory physiologic changes that occur during labor? What are the cardiovascular physiologic changes that occur during labor? What position is beneficial for the laboring woman due to these cardiovascular changes? Explain your answer. Case Study #1 (continued)Laurie asks the nurse if she can eat the turkey sandwich that her husband bought for her in the cafeteria.Should Laurie eat a sandwich while in labor? What are the gastrointestinal physiologic changes that occur during labor? Case Study #1 (continued)Laurie’s labor progresses, her membrane spontaneously ruptures with clear fluid. She is 5 cm dilated on examination. Laurie wants an epidural for pain management. She is preloaded with intravenous (IV) fluid. Her bladder is distended 1 hour after the epidural is placed, and the nurse obtains an order from the physician for a Foley catheterization.The nurse dipsticks Laurie’s urine for protein, and it is 1+.Should the nurse be concerned about this finding? Explain your answer. Case Study #2Marvis is a 29-year-old G1P0 in labor at 40 weeks of gestation. She was admitted at 0200 with a history of contractions since 2200 the night before. On admission, she denied spontaneous rupture of membranes or vaginal bleeding. She felt good fetal movement. Her vital signs and the fetal heart rate were normal. Her contractions were every 6 minutes and lasting 30 seconds. Her cervical examination was 2 cm/70%/-2 vertex.It is now 0600 and she has been reexamined. Her cervical examination is now 3 cm/90%/-2 vertex. Her contractions are now every 4 to 5 minutes lasting 60 seconds. She states they are still mild. Marvis has stated that she wants a natural unmedicated birth.In what stage of labor is Marvis? Explain your answer.What nursing care is indicated at this phase of labor? Explain your answer.Case Study #2 (continued)Marvis expresses disappointment in her progress.What can the nurse do to help her at this point in labor? Case Study #2 (continued)It is now 1000, and Marvis states the contractions have become much stronger. She now needs to use breathing techniques to cope with the contractions. She declines pain medication. Her cervical examination is now 5/100/0.What stage of labor is Marvis in at this time? Explain your answer.What nursing care is indicated at this phase of labor? Explain your answerCase Study #2 (continued)A cervical examination at 1300 confirms this existing phase of labor, as Marvis is 8/100/0 station with spontaneous rupture of membranes with clear fluid.What nursing care is indicated at this time? Explain your answerHealth Science Science Nursing NURSING 1412
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