5.The pitocin drip was started at 0900. The time is now 1100. The…
Question Answered step-by-step 5.The pitocin drip was started at 0900. The time is now 1100. The… 5. 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? 6. The physician has stated that Cindy cannot have her epidural until she is 5 cms and he would prefer not to administer any narcotics for the pain. What can you as the nurse do to help Cindy cope with her contractions? 7. You have just performed a vaginal exam and determined that Cindy is now 6 cms dilated. Anesthesia has come and placed the epidural and Cindy is beginning to feel relief from the pain of her contractions. a. What side effects should you as the nurse monitor for in relation to the epidural? b. What interventions would be performed for the potential side effects? 8. Cindy is complaining of “feeling a lot of pressure down there”. FHR is 120-130 with early decelerations down to 70. What nursing action(s) would you perform? 9. A vaginal exam reveals that Cindy is 10cms, 100% effaced and the fetus is at a +3 station. What actions do you as the nurse need to take? What preparations need to be made for the anticipated delivery? 10. Cindy delivered a 7lb 4oz baby girl. Initial assessment of the infant reveals the following Heart rate Respiratory rate Muscle tone Reflex irritability Color 125 Slow, weak cry Some flexion Cry Body pink, extremities blue Determine the 1 minute Apgar score based on the above information. What actions should you as the nurse take? What factors may have influenced the infant having a slow weak cry and only some flexion of the extremities? Health Science Science Nursing NUR 254 Share QuestionEmailCopy link Comments (0)
