Case Study:Patient Profile:Name: Cece ParekhAge: 29 years oldGravida: 2, Para: 1Estimated Gestational Age: 39 weeks + 2 daysAdmission: Labor and DeliveryCece Parekh is a 29-year-old G2P1 patient who is admitted to the labor and delivery unit at 39 weeks and 2 days for spontaneous onset of labor. She had an uncomplicated pregnancy with consistent prenatal care. Upon admission, she is 4 cm dilated, 80% effaced, and the fetal head is at -1 station. Her membranes are intact, and she is experiencing contractions every 5 minutes, lasting 45 seconds.Vital Signs on Admission:Temperature: 98.6°F (37°C)Pulse: 82 bpmRespirations: 18 breaths per minuteBlood Pressure: 128/80 mmHgFetal Heart Rate (FHR): 145 bpm, baseline with moderate variabilityHer last delivery was vaginal without complications. Cece expresses anxiety about labor pain but desires a natural birth without an epidural if possible.Assessment:The nurse performs Leopold’s maneuvers and determines that the baby is in a cephalic presentation. The fetal heart rate is monitored continuously, showing a baseline of 145 bpm with moderate variability and occasional early decelerations.What is the priority nursing action for Cece upon admission to the labor and delivery unit?a. Administer an IV analgesicb. Assess the fetal heart rate and contraction patternc. Encourage Cece to start pushingCece expresses concern about managing pain without an epidural. What non-pharmacological pain relief interventions could the nurse offer her?d. Encourage early administration of opioidse. Offer frequent position changes and breathing exercisesf. Suggest epidural anesthesia early in laborCece’s membranes rupture spontaneously, and the nurse notes green-tinged fluid. FHR remains within normal limits. What is the next priority nursing action?g. Turn the patient to the left lateral positionh. Document the color and amount of amniotic fluidi. Prepare for emergency deliveryAs labor progresses, Cece reports an uncontrollable urge to push. Upon assessment, she is 10 cm dilated and the fetal head is at +2 station. While Cece is pushing, the fetal heart rate drops to 100 bpm and remains there for two consecutive contractions while variability remains moderate. What is the nurse’s priority action?j. Call for immediate cesarean sectionk. Reposition the patientl. Continue to monitor the FHR closely

A patient, who has a history of a previous cesarean section with her first pregnancy, desires a trial of labor (TOLAC) to attempt vaginal delivery with her current pregnancy. The nurse knows to watch for signs of the biggest risk factor during a TOLAC:

A nurse is assessing a patient who is experiencing a prolonged labor. The following assessment findings indicate that the patient is failing to progress in labor?

A patient diagnosed with placenta previa would have which of the following assessment findings (select all that apply):

The nurse is assessing the fetal heart rate (FHR) of a fetus in a breech presentation and right sacrum transverse (RST) position. The nurse chooses to evaluate the fetal heart rate (FHR) in which quadrant of the maternal abdomen? (Click on the photo where you would place the monitor.)

The nurse is admitting a G3, P2 patient who is dilated to 8 cm. What method of pain management should be avoided?

A nurse is discussing labor augmentation with a laboring patient. The discussion will include the following content areas (select all that apply):

Your 39-week gestation patient, who was shopping at the mall, presents to the labor room with low abdominal discomfort, irregular contractions, increased clear vaginal mucus, and a fetal heart rate (FHR) 136 and regular. The nursing plan of care should include:

Picture and example below from NPR.  “This summer musical artist, Bad Bunny held a residency of 30 concerts in San Juan, Puerto Rico, titled “No Me Quiero Ir De Aqui” (I Don’t Want to Leave Here). Some of the feelings attending the concert were: Tanisha Galarza, a 23-year-old from Guayanilla, a town on the island’s southern coast, attended the concert with her mother. They cried through much of it. Jason who left to work in Boston, said that, unlike many Puerto Ricans he does not often wear or display the Puerto Rican flag. But when he returned home for the concert last month, he bought a designer shirt that made a subtle reference to the flag’s stripes and colors. Angeline brought her family to the concert because she wants to teach her daughters to love their culture, to love who they are.” In these three examples of Tarnisha, Jason, and Angeline, we see examples of how culture is taken for granted, symbolic, and shared.

During the pandemic, students’ reading levels fell due to factors like increased screen time and shorter attention spans. Meanwhile, new technologies like artificial intelligence are emerging to change how reading is taught. What term describes the delay between technological advances and society’s ability to adapt culturally, such as education systems struggling to keep up with AI-driven learning methods?