The Birth Experience of a Multigravida Tina Sanchez is a…
Question Answered step-by-step The Birth Experience of a Multigravida Tina Sanchez is a… The Birth Experience of a MultigravidaTina Sanchez is a 26-year-old Mexican American gravida 2 para 1 who comes to the birthing unit with her husband Jose. On arrival, Tina describes her contractions as starting approximately 2 hours earlier, regular and of moderate strength. You note that while she is walking to her room, she has two contractions that are approximately 4 minutes apart and 60 seconds long. Tina is coping well with the contractions. Between contractions, she tells you that with her first baby 3 years ago she was induced and confined to bed with an electronic monitor and does not want that constraint this time if at all possible. Critical Thinking QuestionsWhat type of information do you need to obtain from Tina and her husband?What are your priority nursing assessments?How would you respond to Tina’s request not to be confined to bed? The nurse completes the assessment of Tina and the admission history between contractions. Tina has experienced a healthy pregnancy and is considered low risk. The institution policy promotes intermittent auscultation for low-risk patients in active labor. Tina’s contractions are growing longer in duration and becoming stronger in intensity. Tina states: “I don’t know how long I am going to be able to do this, it is getting harder.” What evaluation of the FHR would you make during intermittent auscultation?How would you respond to Tina, considering that at this time she appears to be coping well?What type of comfort measures could you suggest? While ambulating in the room, Tina experiences a large gush of greenish-brown fluid from her vagina. What are your priority nursing assessments?Are these findings normal or pathological? What further interventions are required? Thirty minutes later Tina is fully dilated and begins to push with each contraction. The FHR is now decreasing with each contraction and resembles the mirror image of the contraction. Health Science Science Nursing NURS 220 Share QuestionEmailCopy link Comments (0)
