Reference no: EM133869237

Case Study

Marvis 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 (continued)

Marvis expresses disappointment in her progress.

• What can the nurse do to help her at this point in labor?

Case Study (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 answer.

Case Study (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 answer.