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Exam (elaborations)

Swift River Maternal-Newborn Questions With Precise Answers

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Swift River Maternal-Newborn Questions With Precise Answers

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Swift River Maternal-Newborn Questions With Precise
Answers
1. Reason for admission: Educational Needs
22-year-old Muslim female, G1 T0 P0 A0 L0, Fall Risk
39 5/7 weeks gestation. NKDA. 30 y/o G1P0 who was
Pregnan- cy uncomplicated. Woke up admitted 4 hours
early morning feeling wet; wasn't ago in labor. Her
sure if leaking urine cervical exam on
or membranes ruptured. Has admit revealed: 4 cm,
continued to stay wet and needed 70%, fetal vertex at -1,
to wear a pad for the last 4 hours. slight bloody show,
No contractions or vagi- nal leaking membranes.
bleeding. Her husband, Mohammad, is She doesn't remember
with her. He is attending his first when the leaking
year of medical school at the began. Contractions
University and both are in the United on admit were q 5
States on VISAs. He called the minutes x 45 seconds.
obstetrics office and the certified nurse Mrs. Madison re-
midwife told them to come to the
hospital for evaluation and possible
induction of labor. Aminiah looks to
her husband to an- swer questions.
He reads English fluently but both
Aminiah and her husband strug- gle
to speak and understand English con-
versation. Both appear nervous and
have a lot of questions about an
induction.

2. Carly Madison: Room

302 Reason for

admission:


, Swift River Maternal-Newborn Questions With Precise
Answers
Health Change Physiological Needs




Educational Needs Pain Level
Physiological Needs






, Swift River Maternal-Newborn Questions With Precise
Answers
ported a pain level at 4/10. She and
her husband have been to a Lamaze
Prepared Childbirth series and their
Birth Plan in- cludes the desire for a
non-medicated la- bor and birth. She
and her husband have been doing
Slow-Chest breathing and con-
scious relaxation techniques since
admis- sion. She is NPO other than
ice chips;
she has no IV at this point. Vital
signs - BP 124/70, P 80, R 20, FHR is
reassuring with a 136 BPM baseline
with moderate variability no
decelerations and +acceler- ations
(Category 1). She is ambulating in
her room with a portable maternal-
fetal
monitor applied. She puts her call
light on and ask to see a nurse Educational Needs
stating, "how much longer is this Fall Risk
going to be? I am getting really Health Change
tired." Pain Level

3. Cindy Mason: Room 303

Reason for admission:
28 y/o G2P1 at 40 weeks gestation.
She
and her husband present to OB Triage with Psychological Needs
complaint of early labor. Her
prenatal his- tory indicates an


, Swift River Maternal-Newborn Questions With Precise
Answers
uncomplicated first preg- nancy with
a spontaneous vaginal deliv- ery.
Her current pregnancy has also
been uncomplicated with no risk
factors iden- tified. She and her
husband have attend- ed Lamaze
Prepared Childbirth classes and their
Birth Plan indicates a desire for an un-

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