Question

PLEASE TYPE YOUR ANSWER Marvis is a 29-year-old G1 P0 in labor at 40 weeks of...

PLEASE TYPE YOUR ANSWER

Marvis is a 29-year-old G1 P0 in labor at 40 weeks of gestation. She was admitted at 0200 with a history of contractions since 2200 the night before. On admission she denied spontaneous rupture of membranes or vaginal bleeding. She felt good fetal movement. Her vital signs and the fetal heart rate were normal. Her contractions were every 6 minutes and lasting 30 seconds. Her cervical examination was 2 cm/70%/−2 vertex. It is now 0600 and she has been reexamined. Her cervical examination is now 3 cm/90%/−2 vertex. Her contractions are now every 4 to 5 minutes lasting 60 seconds. She states they are still mild. Marvis has stated that she wants a natural unmedicated birth.

  1. In what stage of labor is Marvis?

  2. Marvis expresses disappointment in her progress.
    What can the nurse do to help her at this point in labor?

  3. It is now 1000 and Marvis states the contractions have become much stronger. She now needs to use breathing techniques to cope with the contractions. She declines pain medication. Her cervical examination is now 5/100/0. What stage of labor is Marvis in at this time?

  4. What nursing care is indicated at this phase of labor?

  5. Marvis is now perspiring profusely and shaky. She feels she can’t cope any longer. She pushes away her husband as he tries to rub her back. An increased amount of bloody show is present. She also reports a gush of fluid. Even without a cervical examination, what phase of labor is Marvis most likely in?

  6. A cervical examination at 1300 confirms the transition phase as Marvis is 8/100/0 station with spontaneous rupture of membranes with clear fluid. What nursing care is indicated at this time?

  7. Marvis managed to cope well through transition by going into the shower. She now reports an urge to push. A cervical examination at 1600 reveals that Marvis is still 8/100/0. Fetal heart rate is normal, and maternal vital signs are normal. She is distraught at her lack of progress and states she cannot do it anymore. What nursing care is appropriate at this time?

  8. Nursing assessment reveals an abdominal mass just above the symphysis pubis. What is a likely explanation, and what should be done?

Homework Answers

Answer #1

1. In what stage of labor is Marvis?

Marvis is the latent / early phase of labour in stage one. Latent / early labor is mainly characterized by a consistent pattern of increasing frequency duration of contractions and the occurrence of cervix erasing and/or dilation.

2. Marvis expresses disappointment in her progress. What can the nurse do to help her at this point in labor?

It is the responsibility of the Nurse at this juncture to educate Marvis that at this time the progress of her labor is slow as it is in the latent state the average duration of nullipara is 7.5 to 8.5 h. During this period, the nurse can also support her by offering touch and comfort. This process assists the laboring mother with both physical and emotional support.

3. It is now 1000 and Marvis states the contractions have become much stronger. She now needs to use breathing techniques to cope with the contractions. She declines pain medication. Her cervical examination is now 5/100/0. What stage of labor is Marvis in at this time?

Marvin is in phase one only but is currently in Active Stage. The active stage is characterized by a more rapid dilation of the cervix (between 4 cm and 6 cm), an increase in discomfort / pain as the pace of labor increases, and contractions occur every 3 to 4 minutes and typically last between 40 and 60 seconds.

4. What nursing care is indicated at this phase of labor?

In this process of labor, the specified nursing care helps the laboring mother to relax and be relaxed, provide pain medication, and provide certain methods of pain relief, such as imaging. The nurse might offer to cool her face with a back rub or a wet washcloth. If the patient has a mentor in the room or a partner will help by asking their needs and what to do to help the process.

5. Marvis is now perspiring profusely and shaky. She feels she can’t cope any longer. She pushes away her husband as he tries to rub her back. An increased amount of bloody show is present. She also reports a gush of fluid. Even without a cervical examination, what phase of labor is Marvis most likely in?

· Marvis in now in transition phase of second stage of labor. This stage begins withcomplete 10 cm dilation and full 100% effacement of the cervix and ends with the birth of a baby.

· Contractions are very strong, usually 60 to 90 seconds long and the peaks are intense. The laboring patient senses intense pressure as the fetus descends, similar to an urge to have a bowel movement.

· Women 's behaviour at this stage involves feeling nervous, irritable, powerless as the contraction intensifies, the woman may weep or scream in pain, and most typically people will neglect any relaxation or calming techniques.

6. A cervical examination at 1300 confirms the transition phase as Marvis is 8/100/0 station with spontaneous rupture of membranes with clear fluid. What nursing care is indicated at this time?

- Rubbing on back
- Warm compressing
- bath
- Breathing and relaxation excercises
- Music therapy
- Involving the partner for his support
- Providing continuous labor support


7. Marvis managed to cope well through transition by going into the shower. She now reports an urge to push. A cervical examination at 1600 reveals that Marvis is still 8/100/0. Fetal heart rate is normal, and maternal vital signs are normal. She is distraught at her lack of progress and states she cannot do it anymore. What nursing care is appropriate at this time?

Specific pain management strategies will be discussed. Second, according to the patient's request, no pharmacological treatments should be provided. Depending on the patient 's distress, considering both risk and benefit, the pharmacological interventions may have to be pursued. The nurse needs to have access to the fetus' wellbeing and monitor the mother's vital signs. The patient has to be encouraged to simultaneously push and breathe deeply without holding the breath for more than five seconds. It takes all of the patient's strength, energy and will to do this and motivating the patient goes a long way to delivering the baby well.

8. Nursing assessment reveals an abdominal mass just above the symphysis pubis. What is a likely explanation, and what should be done?

The abdominal mass is an inflammation which causes varying degrees of pelvic and abdominal pain in various patients. We highly recommend therapy sessions aimed at relaxing, strengthening, medicating and stabilizing the muscles around the symphysis pubis.

Know the answer?
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for?
Ask your own homework help question
Similar Questions
Marvis is a 29-year-old G1P0 in labor at 40 weeks of gestation. She was admitted at...
Marvis is a 29-year-old G1P0 in labor at 40 weeks of gestation. She was admitted at 0200 with a history of contractions since 2200 the night before. On admission, she denied spontaneous rupture of membranes or vaginal bleeding. She felt good fetal movement. Her vital signs and the fetal heart rate were normal. Her contractions were every 6 minutes and lasting 30 seconds. Her cervical examination was 2 cm/70%/−2 vertex. It is now 0600 and she has been reexamined. Her...
A cervical examination at 1300 confirms the transition phase as Marvis is 8/100/0 station with spontaneous...
A cervical examination at 1300 confirms the transition phase as Marvis is 8/100/0 station with spontaneous rupture of membranes with clear fluid. What nursing care is indicated at this time?
Giselel is a 30-year-old G1P0 admitted at 39 weeks of gestation in early active labor. Her...
Giselel is a 30-year-old G1P0 admitted at 39 weeks of gestation in early active labor. Her cervical examination is 3/100/-1 vertex. Her membranes are intact. Her contractions are every 4 minutes x 60 seconds. Fetal heart tones are 140 with moderate variability, accelerations present, no deceleration's. She declines medication for pain at this time, but states she might need something later. Her partner at the bedside seems anxious. 1. How can the nurse help Gisellen cope with the pain of...
Giselel is a 30-year-old G1P0 admitted at39 weeks of gestation in early active labor. Her cervical...
Giselel is a 30-year-old G1P0 admitted at39 weeks of gestation in early active labor. Her cervical examination is 3/100/-1 vertex. Her membranes are intact. Her contractions are every 4 minutes x 60 seconds. Fetal heart tones are 140 with moderate variability, accelerations present, no deceleration's. She declines medication for pain at this time, but states she might need something later. Her partner at the bedside seems anxious. 1. How can the nurse help Gisellen cope with the pain of contractions...
It is now 1000, and Marvis states the contractions have become much stronger. She now needs...
It is now 1000, and Marvis states the contractions have become much stronger. She now needs to use breathing techniques to cope with the contractions. She declines pain medication. What nursing care is indicated at this phase of labor?
Marvis is now profusely perspiring and is shaky. She feels she cannot cope any longer. She...
Marvis is now profusely perspiring and is shaky. She feels she cannot cope any longer. She pushes away her husband as he tries to rub her back. An increased amount of bloody show is present. She also reports a gush of fluid. Even without a cervical examination, what phase of labor is Marvis most likely in?
Kathy is a 23-year-old G2P0 at 42 weeks of gestation in active spontaneous labor. Her pregnancy...
Kathy is a 23-year-old G2P0 at 42 weeks of gestation in active spontaneous labor. Her pregnancy has been complicated by mild hypertension, but no medications were needed. She is 4 cm/100/0 station, vertex position. Her membranes have just ruptured, and there is thick meconium staining. She is comfortable and utilizing epidural anesthesia. 1.   What risk factors are present that may impact the way the fetus tolerates labor? 2.   The fetal heart rate shows a rate of 140, moderate variability, no...
Gloria Harjo is a pregnant primigravida at 39 weeks of gestation.  She arrives at the birthing center...
Gloria Harjo is a pregnant primigravida at 39 weeks of gestation.  She arrives at the birthing center triage unit with complaints of lower abdominal pains for the past 4 hours. Gloria is accompanied by her husband, Victor. Gloria clenches Victor’s hand and holds her breath each time she has a contraction. Gloria’s breathing pattern is rapid and shallow and she appears to be nervous, tense, and in pain. She states that she is fearful because she doesn’t know what to expect....
An 18-year-old G1 P0 pregnant client, 33 weeks’ gestation presents to Labor and Delivery Triage. Assessment...
An 18-year-old G1 P0 pregnant client, 33 weeks’ gestation presents to Labor and Delivery Triage. Assessment reveals two serial B/Ps of 162/97 and 165/100, P 82, Resp 17; Urine Dip 4+ protein on urine dipstick; DTRs are 3+ and she is complaining of a headache and blurred vision for 2 days. 1.What condition is the patient experiencing? 2.Describe the significance of each assessment findings and nursing interventions that would be performed. 3.Describe the plan of care for this patient.
Case Study Laurie is a 32-year-old primigravida at 40 weeks of gestation who is admitted to...
Case Study Laurie is a 32-year-old primigravida at 40 weeks of gestation who is admitted to the Labor and Delivery unit in early labor. She has no know risk factors. Her bag of waters is intact, and she is 3 cm dilated, 90% effaced, and -1 station. The fetal heart rate is 120 with moderate variability, and she is contracting 3 to 4 minutes apart for 60 seconds. As a woman progresses through the stages of labor, various body system...
ADVERTISEMENT
Need Online Homework Help?

Get Answers For Free
Most questions answered within 1 hours.

Ask a Question
ADVERTISEMENT