Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

Labor and delivery concept map

25/03/2021 Client: saad24vbs Deadline: 7 Days

1) Patient Introduction

Olivia Jones is a 23-year-old African-American female, G1P0 at 36 weeks of gestation. She has been diagnosed with severe preeclampsia and is admitted to the labor and delivery unit for assessment and surveillance.

Pregnancy has been unremarkable until routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission.

She has gained 3 pounds since prenatal visit 1 week ago. Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial puffiness.

Ms. Jones is complaining of a headache that is not resolved with acetaminophen. She presents with nausea and fatigue and complaining of epigastric pain, visual changes, and chest tightness. The fetus is active; however, patient states that it is a bit quieter than normal. There is a possibility of premature rupture of membranes. An IV with lactated Ringer's is running at 125 mL/hr. Labs were obtained.

Medication: Magnesium sulfate (injection)

2 Patient Introduction
Brenda Patton is an 18-year-old Caucasian female, G1P0 at 38 2/7 weeks of gestation admitted to the labor and birthing unit for labor assessment.

The patient states that her water may have broken earlier this morning and she thinks she is in labor. AmniSure was positive. Vaginal exam reveals 50% effacement of cervix, cervical dilation 4 cm, and fetus at -2 station.

The patient's boyfriend is present, and she has phoned her mother to inform her of her admission. The provider has been notified, and prenatal records have been pulled.

The lab report indicates that the patient's group B strep vaginorectal culture taken at 36 weeks was positive. The patient wishes to have a natural birth without medication. Admission intrapartum orders have been initiated, initial labs have been drawn, and a saline lock has been placed in her forearm.

Medication: Promethazine hydrochloride

3 Patient Introduction
Amelia Sung is a 36-year-old Filipino female, G2P1 (L1) at 39 weeks of gestation, who was admitted 24 hours ago for induction of labor.

First-born male delivered vaginally 3 years and 3 months ago. Weight: 3,345 g (7 lb 6 oz). Length 55 cm (22 in).

She was started on oxytocin at 1 mL/1 mU, and the infusion was increased throughout the day per protocol. A mainline IV of lactated Ringer's is running at 125 mL/hr, and oxytocin (30 units in 500 mL normal saline) is running at 20 mU/min (20 mL/hr).

Her cervical exam at admission was 2 cm dilation, 80% effaced, at -1 station, with fetus in vertex position. At 0100 hours, dilation was 4 cm, 100% effaced, still at -1 station and fetus in vertex position. She received an epidural shortly after that, and 1 hour later, her membranes ruptured; the fluid was clear.

Three hours ago, she was fully dilated and started pushing. The fetal heart rate has been stable with a baseline of 120/min, moderate variability, and early decelerations since she started pushing. She is getting tired from pushing, and the descent of the fetal head has been slow.

During the past few contractions, the baby has started to crown. The provider has been called and has arrived, so Amelia may continue pushing.

Medication: Oxytocin

4 Patient Introduction
Carla Hernandez is a 32-year-old Hispanic female, G2P1 (L1), at 39 5/7 weeks of gestation. She was admitted to labor and delivery in active labor at 0600 hours today, accompanied by her husband Earl.

To progress the delivery, artificial rupture of membranes was performed by the provider a few minutes ago. The provider has just left the room to make rounds.

Suddenly, the fetal heart rate drops dramatically, and you discover that the umbilical cord is prolapsed. You are ready to handle this situation with another nurse who is also present in the room.

Medication: Terbutaline sulfate

5 Patient Introduction
Fatime Sanogo is a 23-year-old primiparous female from Mali in her first hour after vaginal delivery. The patient was admitted yesterday at 0600 hours for oxytocin induction of labor secondary to postdates (41 4/7 weeks). She declined all pain medication during labor.

Following a prolonged second stage, she delivered a vigorous female infant at 0605 hours with Apgar scores of 9 and 9 and weight of 4,082 g (9 lb 0 oz). The patient contracted a second-degree perineal laceration during delivery; this has been repaired.

Placenta was delivered manually at 0635 hours via Dr. Schultz. Bleeding was controlled by fundal massage and infusion of remaining oxytocin induction bag, which is still running at 20 mL/hr (20 mU/min); approximately 100 mL left in the bag.

The patient was just up to the bathroom and couldn't void. She is now dozing, and the father of the baby is at the bedside, holding the baby and sending text messages from the phone. Fatime does not speak English fluently, as she has only been in the country for 7 months. You enter the room to assume care of the patient and to perform the second of four assessments every 15 minutes.

Medication: Misoprostol

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

Engineering Solutions
Maths Master
A Grade Exams
Write My Coursework
Top Quality Assignments
Buy Coursework Help
Writer Writer Name Offer Chat
Engineering Solutions

ONLINE

Engineering Solutions

I have read and understood all your initial requirements, and I am very professional in this task.

$15 Chat With Writer
Maths Master

ONLINE

Maths Master

You can award me any time as I am ready to start your project curiously. Waiting for your positive response. Thank you!

$23 Chat With Writer
A Grade Exams

ONLINE

A Grade Exams

Give me a chance, i will do this with my best efforts

$37 Chat With Writer
Write My Coursework

ONLINE

Write My Coursework

I will cover all the points which you have mentioned in your project details.

$26 Chat With Writer
Top Quality Assignments

ONLINE

Top Quality Assignments

Give me a chance, i will do this with my best efforts

$37 Chat With Writer
Buy Coursework Help

ONLINE

Buy Coursework Help

Hello, I an ranked top 10 freelancers in academic and contents writing. I can write and updated your personal statement with great quality and free of plagiarism

$17 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

Week 2 Biology - Rising sun movies mareeba - Zinc and copper redox reaction equation - Www portsmouth idesktop nhs uk - MKTG201 Week 3 Asignment - What are effective strategies for successful book launches? - The day of destiny questions and answers - What is an anticipatory set in a lesson plan - What is myth in semiotics - Implementation Plan - Why do you want to work at trader joe's answer - Enquiries ndis gov au - What were the headlines after a mad scientist graphs key - How to end a school captain speech - Today's forecast equals yesterday's actual demand is referred as - Confucius lives next door cliff notes - Internal and external sources of whs information and data - Avery vinyl colour chart - Unit 2 DB - Fazil say summertime variations pdf - Seven laws of training issa - Avon age defying flawless legs - Environmental effects on microbial growth lab report - Synthesis of benzoic acid lab report - Which country switched sides in ww1 - Advantages of break even - Volume of a right rectangular pyramid - Part 3: BRD - Mobil oil australia v wellcome international - Stone rolling son of aeolus - Thomas v bpe solicitors - 4.4 notes constant of proportionality - Week 1 Discussion - 365 haulage & civil pty ltd - Assignment 2: Safety Training Manual - Red cross objectives and goals - Insomnia - Paul dickenson sports commentator - I need a assignment done that has a part A and B done for week 5 and Week 7 for My Marketing in an Global Enviroment - Uses of duplicating machine - The personal construct theory by kelly states that - Cell organelles and their functions worksheet - 12 imams family tree - Unit 6 electrical and electronic principles - Match each description with a document in a voucher system - Research proposal for marketing problem - Why shoplifting is wrong essay - Summary question 2.3 and 2.4 - Char cannot be converted to charsequence - 200 kva transformer oil capacity - Charts - 350 kelvin to fahrenheit - Keller williams listing presentation - Describe the tone of gandhi's chapter on his child marriage - Queens hospital romford consultants - Constructing a genogram - San diego state university hr - Community Resources for Older Individuals - Case study treatment plan sample - How to use emulsifier in cake - The lorelei poem by heinrich heine - Is social media a good forum for elected leaders - Essay - How did erp help improve business operations at shell - Question Paper w/Example -Mod 5 - Nurse practitioner scholarships canada - Trevor noah owns tomi lahren - As of december 31, 2017, armani company’s financial records show the following items and amounts. - Project - Who is narrating the short story charles - Webassign enroll with class key - Conflict management presentation slides - Abbreviation of books of the bible - Powered by rovi passport guide 6.0 - Classification of magnetic materials - Calculus - Westwood publishing case study answer - 17:30 in 12 hour - Melbourne airport asic approvals - Rashomon and in a grove comparison - Unordered stem and leaf plot - The welcome table alice walker sparknotes - Analyze the case study in this folder Tobacco Industry Manipulation of Research. - Supply side policies tutor2u - Discussion 2: Historical Divides and Ethical Obligations Within Social Work socw 6361, wk1-2 - Assignment 1 - Legal and Ethical Issues in Mental Health - The most popular yardstick of financial performance among investors and senior managers is the: - Data structure programs in java pdf - Scripts for teenage girl - Eaton corporation plc annual report - Difference between corrective action and preventive action - Percentage of casein in cow milk - A difficult pregnancy a nurse practitioner looks for answers - Milgram obedience experiment video - Srs simple random sample - Ibm change management tool - St stephen life story - Order 2317028: HR: Organizational Development and Benefits - Discussion Question