Cindy Mason
maternal:Latest-2022
, Cindy Mason Room 301
Cindy Mason, 28 y/o G2P1 at 40 weeks gestation. She and her husband
present to OB Triage with complaint of early labor. Her prenatal history
indicates an uncomplicated first pregnancy with a spontaneous vaginal
delivery. Her current pregnancy has also been uncomplicated with no risk
factors identified. She and her husband have attended Lamaze Prepared
Childbirth classes and their Birth Plan indicates a desire for an unmedicated
labor and birth and breastfeeding. Mrs. Mason states her contractions are
occurring every 4 minutes and lasting 60 seconds. She is using slow-chest
breathing and rates her pain at 4/10. She also reports leaking clear fluid from
her vagina. She believes the leaking began about two hours ago.
You responded correctly to 4 out of 6 evaluations:
Your
Category response Explanatio
Educational Needs Increased Status assessment reports attendance at Lamaze classes and previous
acuity vagina management
Fall Risk Normal acuity Client is at full term of pregnancy and has a changed center of gravity.
Health Change Increased Status assessment reports active labor with possible spontaneous rupture o
m
acuity
Pain Level Increased Status assessment reports frequent contractions with pain score 4/10.
acuity
maternal:Latest-2022
, Cindy Mason Room 301
Cindy Mason, 28 y/o G2P1 at 40 weeks gestation. She and her husband
present to OB Triage with complaint of early labor. Her prenatal history
indicates an uncomplicated first pregnancy with a spontaneous vaginal
delivery. Her current pregnancy has also been uncomplicated with no risk
factors identified. She and her husband have attended Lamaze Prepared
Childbirth classes and their Birth Plan indicates a desire for an unmedicated
labor and birth and breastfeeding. Mrs. Mason states her contractions are
occurring every 4 minutes and lasting 60 seconds. She is using slow-chest
breathing and rates her pain at 4/10. She also reports leaking clear fluid from
her vagina. She believes the leaking began about two hours ago.
You responded correctly to 4 out of 6 evaluations:
Your
Category response Explanatio
Educational Needs Increased Status assessment reports attendance at Lamaze classes and previous
acuity vagina management
Fall Risk Normal acuity Client is at full term of pregnancy and has a changed center of gravity.
Health Change Increased Status assessment reports active labor with possible spontaneous rupture o
m
acuity
Pain Level Increased Status assessment reports frequent contractions with pain score 4/10.
acuity
