The pitocin drip was started at 0900. The time is now 1100. The pitocin drip is

Question

The pitocin drip was started at 0900. The time is now 1100. The pitocin drip is currently set at 8 milliunits per minute. Cindy is having contractions every 3 minutes, lasting 60 seconds. The contractions are moderate on palpation. She is having a difficult time coping with the contractions and is requesting something for pain. You assess the fetal heart tones and note that the fetal heart rate (FHR) is 130-140 with accelerations and occasional mild variables. You perform a vaginal exam and note that Cindy is 3-4 cm’s dilated and 100% effaced, with the fetus at a 0 station.

a. What nursing actions would you perform at this time?

b. What lab result needs to be verified?

Explanation / Answer

What nursing actions would you perform at this time?

Cindy is 3-4 cm’s dilated and 100% effaced, with the fetus at a 0 station these are the signs of labor transiting from latent phase to active phase. The nursing actions in active labor include:

Latent Phase:

Latent (Preparatory) Phase begins from the beginning of genuine work withdrawals to 3 cm cervical dilatation. Here are nursing duties amid this stage:

Active Phase

Active Phase begins from 4 cm cervical dilatation to 7 cm cervical dilatation. Amid this stage, compression power is more grounded, interim abbreviates, and span stretches. This is the place genuine distress is first felt by the patient so she is needy and her attention is on herself. Here are nursing duties in this stage:

What lab result needs to be verified?

Scarcely any lab tests are valuable. Beginning assurance of the patient's hemoglobin level and Rh blood gather status is required. In the event that the patient has gotten pre-birth mind, other research facility tests have been performed.

Kleihauer-Betke testing can be requested after conveyance for Rh-negative moms of Rh-positive newborn children. (One unit of Rh immunoglobulin per 15 mL fetal blood in the mother's course is directed intramuscularly inside 72 h of conveyance.)

For the most part, if adequate time for imaging thinks about exists, time to transport the patient to the obstetrics ward exists.

Ultrasonography might be helpful and is instantly accessible at most offices as FAST devices turn out to be progressively accessible. Contingent upon the advancement of the gear and faculty accessible, sonography might be utilized to decide the accompanying:

Radiography has a part in the crisis evaluation of the pregnant patient. It is accessible rapidly at most offices, delivery rooms and crisis doctors are talented at free understanding of radiographs. In the event that territories other than the pelvis require radiographic assessment, shield the stomach area; perform stomach radiography just when it is completely fundamental. Plain radiographs of the mid-region might be utilized for pelvimetry to demonstrate the position and number of babies.

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