Renee Wilson maternal Renee Wilson Room 302 Renee Wilson, 26 y/o G1P0 admitted four hours ago to the Birthing Center.

Renee Wilson Room 302 Renee Wilson, 26 y/o G1P0 admitted four hours ago to the Birthing Center. She has had an uncomplicated pregnancy, but her obstetrician has expressed the concern about needing a c-section because of the anticipation of a large baby. Her last ultrasound estimated fetal weight at 9 lbs. 6 oz. She and her husband have attended Lamaze Prepared Childbirth Classes and their Birth Plan includes the desire to have an unmedicated labor and vaginal birth. She also desires skin to skin contact with her baby at birth and breastfeeding. Admit assessment findings: Sterile vaginal exam (SVE) - 4 cm, 80% effaced, and fetal vertex at a -2 station with intact membranes, slight bloody show. BP 110/70 mmHg, P. 88 beats/minute, R 24 breaths/minute; T 98.8 F. 37.1 C. FHR 150 baseline with moderate variability + accelerations, absent decelerations (Category 1). Contractions are occurring every 2 minutes, lasting 60 seconds with moderate intensity per palpation. Portable tocodynamometer and fetal ultrasound transducer are in place. She is using shallow-chest breathing and conscious relaxation techniques and is ambulating in her room. She rates her pain at 5/10. She tells you that she will feel like a failure if she can’t deliver vaginally.