Fetal Distress/Cesarean Section RAPID Reasoning

RAPID Reasoning Case Study History of Present Problem: Luella Jones is a 25-year-old female patient G1P0 who is currently 40 3/7 weeks gestation. She is admitted to the hospital to be induced for being post-date. She is positive for Group Beta streptococcus and receiving IV antibiotics per protocol. She is 65 inches (162.5 cm). Her pre-pregnancy weight was 115 pounds (52.3 kg). She gained 15 pounds (6.8 kg) during this pregnancy. She just had spontaneous rupture of membranes with a moderate amount of thick meconium fluid. The nurse performed a vaginal check, and her cervix is dilated to 4 cm, 80 percent effaced and -1 station. Pitocin is infusing at 6 mU/minute intravenously. Personal/Social History: Luella lives alone and is no longer involved with the father of her baby. Her family support is limited to her older sister. She smokes one pack of cigarettes a day and has not had a job for over a year and states money is tight. She admits to not eating very healthy during the pregnancy because it is easier to grab chips and pop than cook. She missed a few of her prenatal visits due to transportation issues and did not attend any prenatal classes. Her sister is present as her support person during labor and delivery.