Archive for January 2nd, 2009

b. what fetal FHR assessment will best ensure fetal well-being during the period Cindy is ambulating?

Friday, January 2nd, 2009
jhewz asked:


cindy bell, a 20 y/o gravida 2, para 1 at 40 weeks gestation, presents to you in the birthing unit with contractions every 5-7mins. She is accompanied by her husband. Spontaneous rupture of membranes occured 2″ prior to admission. Cindy tells you that the field was colorless and clear. You orient Cindy and he family to the birthing room & perform a physical assessment, documenting the ff. data: VS are normal. A vaginal exam demonstrate the cervix is 75% effaced, 4cm dilated w/ a vertext at (-1) station in the LOP position. You place on an external fetal monitor. The FHR baseline is 140-147 w/ accelerations to 156bpm no accelerations are noted. Contractions are 5-6mins. apart, moderate intensity and lasting 40-50secs. Cindy states she would like to stay out of bed as long as possible bec. lying down seems to make the contractions more painful, especially in her back.

Edwin
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