NRSG 3303 Week 3 Fetal Distress/Cesarean Section, RAPID Reasoning Case Study

Fetal Distress/Cesarean Section RAPID Reasoning © 2018 Keith Rischer/www.KeithRN.com RAPID Reasoning Case Study History of Present Problem: Luella Jones is a 25-year-old female patient G1P0 who is currently 40 3/7 weeks gestation. She is admitted to the hospital to be induced for being post-date. She is positive for Group Beta streptococcus and receiving IV antibiotics per protocol. She is 65 inches (162.5 cm). Her pre-pregnancy weight was 115 pounds (52.3 kg). She gained 15 pounds (6.8 kg) during this pregnancy. She just had spontaneous rupture of membranes with a moderate amount of thick meconium fluid. The nurse performed a vaginal check, and her cervix is dilated to 4 cm, 80 percent effaced and -1 station. Pitocin is infusing at 6 mU/minute intravenously.