The patient L.M. that was just admitted in active labor has…
The patient L.M. that was just admitted in active labor has the following EFM tracing. She just finished getting her epidural. Her vitals are T 99.7, BP 89/64, HR 125, RR 20 Describe the components of the EFM tracing including the variability, baseline, if accelerations are present/absent, if decelerations are present/absent and if present, what type and why. Are any interventions necessary for this strip and if so, what interventions would be the priority intervention to implement. What is the frequency and duration of the contraction pattern? variability [variability] baseline [baseline] accelerations [accelerations] decelerations [decelerations] cause of decel [causeofdeceleration] interventions that is highest priority [interventions] uterine contractions [uterinefrequencyandduration]
Read DetailsYou are receiving report from the off-going RN. Casey is a G…
You are receiving report from the off-going RN. Casey is a G3P2 that has delivered an infant by vacuum-assisted vaginal delivery (VAVD) around 6 hours ago. She was induced for postdate induction at 41.2 weeks GA. Casey is AB- blood type, rubella neg, GBS+ treated with 4 doses of Ampicillin. She has allergies to sulfa. She has a 3rd-degree perineal laceration. Her blood loss was 400ml QBL. She has been firm and midline and bleeding has been normal. She received 2 bags of pitocin and is currently with a saline lock. She did have an epidural but has gotten up to void twice already. Her baby is a baby boy with apgars 7 and 9. He has a cephalohematoma on the right side of the head where the vacuum was placed. He has already voided but no meconium yet. He is breastfeeding and has had poor latch scores of 4 and 5. He is A+ blood type with DAT+(Coombs positive). Labs are ordered every 6 hours. His face was really bruised when he was first born because she dilated from 3-10cm very quickly and his descent was fast. The bruising is looking better and is just on his forehead now. Choose all of the risk factors that relate to increased risk of hyperbilirubinemia (select all that apply)
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