As the nurse, you admit Margarite Sanchez to the labor and delivery unit. She arrived in the
Question:
As the nurse, you admit Margarite Sanchez to the labor and delivery unit. She arrived in the triage unit at midnight in early labor. She presented with uterine contractions that were 5 minutes apart for 3 hours. The patient is a 28-year-old G3 P1011 Hispanic woman. She is at 39 weeks’ gestation. José, her husband, has accompanied her to the unit. Two years ago, she had a normal spontaneous vaginal delivery after an 18-hour labor for a baby girl, Sonya, who weighed 7 lb, 3 oz. Margarite’s cervix is now 4 cm/80%/0 station, and the fetal position is left occiput anterior.
Prenatal Labs:
- Blood type O+
- RPR NR
- GBS negative
- Hgb 11.7
- Hct 4
- Hepatitis negative
Vital signs:
- Blood pressure 110/60
- pulse 84 bpm
- respiratory rate 18
- temperature 98.6°F (37°C)
Margarite received regular prenatal care, beginning at 10 weeks of gestation. She gained 22 lb during pregnancy, and her current weight is 164 lb. She is 5 ft, 4 in. tall. She has no prior medical complications and has experienced a normal pregnancy. Her first pregnancy ended in miscarriage at 8 weeks’ gestation. She has no allergies to food or medication. She does not have a birth plan and says, “I just hope for a normal delivery and a healthy baby.”
Expert Answer:
Main priorities for Margarite are Pain management She is in severe labour pain Risk for fluid volume ... View the full answer
