question archive A 22-year-old woman in her second pregnancy has arrived on the labour ward at 38 weeks 3 days
A 22-year-old woman in her second pregnancy has arrived on the labour ward at 38 weeks 3 days
Subject:NursingPrice: Bought3
A 22-year-old woman in her second pregnancy has arrived on the labour ward at 38 weeks 3 days. She had a normal delivery 18 months ago. This pregnancy has been complicated by persistent vomiting until 20 weeks and more recently by anaemia. She reports contractions commencing approximately 4 h ago. She took paracetamol at home and tried to relieve the pain with a bath, but now feels she cannot cope with the pain. She had a show 2 days ago but has had no bleeding since then and has not noticed any vaginal leak. She has felt the baby moving normally all day. Examination The blood pressure is 110/58 mmHg and heart rate is 98/min. The presentation is cephalic with 2/5 palpable abdominally. Uterine contractions are palpable and the uterus is non- irritable. On vaginal examination the cervix is 5 cm dilated and the head is 1 cm above the ischial spines. The fetal position is right occipitotransverse with mild caput and mould- ing. The membranes are intact but rupture spontaneously during examination, with clear liquor draining The woman requests an epidural for pain relief and is therefore commenced on continuous cardiotocograph monitoring. After 20 min you are called in to review the situation.
