Hesi Case Study Susan Wilson #2 MNB, Trans Test 2 Comprehensive Questions and Answers |LATEST 2024
Hesi Case Study Susan Wilson #2 MNB, Trans Test 2 Hesi Case Study Susan Wilson #2 MNB, Trans Test 2 Comprehensive Questions and Answers |LATEST 2024 Susan is 40 1/2 wks gestation and in labor. She states her cxns are 5-6 minutes apart. she states that she has been nauseated off and on for the last 24 hrs and has little to eat or drink; that she has urinated only once in the last 12 hrs Based on Susan's assessment data and hx, you ID which of the following as a priority nsg dx for her at this time?Susan says she was lying in bed and suddenly felt a puddle underneath her. Sudden passing of a lg amt of fluid indicates that her mb's have ruptured (often the 1st sign of labor) - this fluid is amniotic fluid. With regard to Susan's ROMs, which questions are important?After confirming the time the her mb's ruptured, you determine that she has had bloody show. this is the release of brownish or blood tinged cervical mucous, also occurs in early labor. She is not having back pain which would suggest that the fetus was in a posterior position which would make labor more difficult. You place her on the Toco after performing Leopold's maneuvers to determine the position of the baby. In Leopold's, you palpate a somewhat round, soft, and irregular fetal part in the uterine fundus at the RUQ a smooth, convex contour along the Rt side of the abd, and a firm, round fetal part over the pelvic inlet Based on your assessment, you determine that the fetus is in a: Cephalic presentation Based on your assessment, you position the US transducer on her abd at the: RLQ Normal FHR is 110 - 160 bpm. The baby's HR is 135 w/ accelerations to 150 during cxns and a return to baseline after cxns. (Fetal tachycardia is a baseline FHR 160 and lasting 10 min) FHR increases can be associated w/ a variety of factors. These include:Variability in FHR is seen as irregular fluctuations from the baseline. In this 10 min tracing, the baseline FHR is 135, but the rate fluctuates from 130 - 140 consistently. the avg fluctuation of 10 bpm constitutes moderate variability. Moderate variability is a reassuring FHR pattern. This is important because it reflects the intactness of the fetal neurologic system, fetal oxygenation, and fetal O2 reserve. Variability indirectly indicates fetal tolerance of labor. A decrease in variability can occur when the fetus is asleep and typically lasts no longer than 30 min. a smooth baseline that lasts longer than 30 min suggests fetal distress Susan has been monitored for 15 min. Which of the following actions on your part is indicated?To measure the frequency of Susan's cxns you examine a 10 min strip and :Susan's cxns are now every 5-6 min and lasting 30-45 seconds You perform a vaginal exam to check for shortening and thinning of her cervix. This is called:She is at 3 cm and 80% effaced. You also determine that the fetus is at 0 station. John is curious about what you mean by "the fetus is at 0 station". Your response is based on the knowledge that 0 station means that:Station advances from -5 to +5 as the presenting part of the fetus descends thru the pelvis. At -5, the presenting part is below the level of the iliac crests at the pelvic inlet. At +4 to +5, the presenting part is well past the ischial spines at the level of the ischial tuberosities, and birth is imminent Based on your assessment of Susan (3 cm , 80%, 0 station) and your interpretation of her data, you determine that she is now in which stage of labor?....
Geschreven voor
- Instelling
- Chamberlain College Of Nursing
- Vak
- Hesi Case Study Susan Wilson #2 MNB, Trans T 2
Documentinformatie
- Geüpload op
- 8 februari 2024
- Aantal pagina's
- 17
- Geschreven in
- 2023/2024
- Type
- Tentamen (uitwerkingen)
- Bevat
- Vragen en antwoorden
Onderwerpen
-
hesi case study susan wilson 2 mnb trans test 2
-
hesi case study susan wilson 2 mnb trans test
-
hesi case study susan wilson
-
hesi case study susan wilson
-
susan is 40 12 wks gestation and in labor she st
