course material

1. Discussion: Patient in Active Labor
Discussion: Patient in Active LaborDiscussion: Patient in Active LaborAn 18-year-old
Primigravida presents to Labor and delivery with what appears to be active labor. Upon
questioning you discover that she has received no prenatal care. In obtaining some history
while placing her on the fetal monitor you learn she is a smoker, approximately 1 pack per
day, occasional marijuana for stress,, and denies any support system. The Father of the baby
(FOB) has no knowledge of the pregnancy. She does not take prenatal vitamins. She states
“They were too hard to swallow”. She has no idea when her LMP was and she relates always
being irregular. * remember LMP is to ask the first day of her Last Menstrual not when the
bleeding stopped.What other questions are essential for her safe care?What lab values do
you need to obtain?What exam findings should you obtain at this time?What education will
you provide for her?She asks you how long this will take to have the baby- what is your best
response?Part 2Objective information:fetal heart tones are 130 with minimal
variability.Vaginal exam reveals 4 cm dilated, 90% effaced , -1 stationShe is complaining of
pain 8/10 on a numeric scale.An IV has been started with an 18 gauge catheter with 1 liter
of Lactated Ringers at 150 cc/hour in the left forearm.How can you provide non-
pharmacological comfort to this patient?What are the pharmacological methods to
use?Without prenatal records or history GBS is unknown, What must you
provide?Contractions are 5 minutes apart and you receive an order to augment labor- what
non-pharmacological methods can you provide or ask the provider to provide?Pitocin is
ordered please include at what rate you will start Pitocin and how often you titrate. What
equipment is necessary to run and hang Pitocin?Minimum 500 words including intext
citations, 500 words does not include citations and cover page and use APA
styleHide ORDER NOW FOR ORIGINAL, PLAGIARISM-FREE PAPERSYou must proofread
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