Reference no: EM133855163

You walk into the birthing center at the beginning of your shift and look at the listing of clients who are in the birthing area. The list looks like this:

Name    G/P     Contrac     Dilation    Efface    Gestation

Brooks   2/1    q10X40      4 cm        25%         39

Faber    1/0    q02X60     10 cm       100%        40

Pandey  6/5   q05X60      4 cm        100%        41

Yien     1/0    q03X40      3 cm         30%        27, twins

1. Which woman will probably give birth first? Why? The woman that will probably give birth first would-be Pandey. Ms. Pandey has been pregnant six times and have five living children.

2. Which woman do you not want to continue in labor? Why?

3. Which of the women are at term?

4. Which stage of labor is each woman in? Do the assessments match what you would expect for the stage of labor?

Scenario:

Colleen Estes is a gravida 3 para 1 admitted to the birthing center with possible rupture of membranes (ROM). Admission assessment reveals the following data: right-occiput-posterior (these abbreviations appear on the hospital chart) position, longitudinal lie, cervical dilation 4 cm, -3 station, effaced 80% and spontaneous rupture of the membranes. Ms. Estes states she has pressure in her pelvic area and needs to urinate more frequently.

5. Ms. Estes asks you to explain what she can expect in the next six hours. What information would you need to provide to her and the family?

6. What is a longitudinal lie, and what are its implications for Ms. Estes?

7. Explain to Ms. Estes the implications of a right-occiput-posterior position.

8. Which premonitory signs and symptoms of labor might Ms. Estes have experienced prior to admission to the hospital?

9. What factors will make this birth experience a positive one for Ms. Estes?

Please cite resources