Question

A patient comes into labor and delivery complaining of “leaking fluid.” She is 32 weeks’ gestation....

A patient comes into labor and delivery complaining of “leaking fluid.” She is 32 weeks’ gestation. The fetal heart tones are 140s.

1. What interventions would be completed on this patient and rationale for each?

2. What are complications that could develop from this condition?

Homework Answers

Answer #1

1. The most common cause of amnotic fluid leakage is labour.amniotic fluid leak during 2 nd trimester.due to many reasons like,rupture of membrane, poor diet with mother,bacterial infection,smoking and drinking etc.

Treatment is given based on the stage of the pregnancy.here Patient have 32 week gestation.so we have to give the antibiotics to avoid an infection.

32 week the baby's lungs will be monitored and checked for maturity.steroids may be given to develop the baby's lungs.antibiotics treatments is given to prevent infection after which labour is induced.

2. * amniotic fluid leakage during the first and second trimester can result in a miscarriage or stillbirth.

* you may be exposed to infection

* premature birth

* difficulty to during labor,such as squeezing the umbilical cord,which can affect baby's ability to get oxygen

* increased risk for cesarean delivery

* slowed growth.

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
You are the labor and delivery nurse, Lisa Smith a 32 year-old G3P2, 39 weeks gestation...
You are the labor and delivery nurse, Lisa Smith a 32 year-old G3P2, 39 weeks gestation comes to the birthing unit having contractions and feeling somewhat uncomfortable. You suspect she is in labor but in order to determine your next course of action, you must gather further information. Post a comprehensive response to the following three (3) questions in regard to the intrapartum scenario: 1.What three (3) initial questions would you ask to further assess Lisa's labor? 2. On examination,...
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.
Michelle is a G2 P1 at 35 week’s gestation. She came to the ER complaining of...
Michelle is a G2 P1 at 35 week’s gestation. She came to the ER complaining of abdominal pain. She is experiencing moderate vaginal bleeding. Her vital signs are: B/P 90/52, HR 115 bpm. Fetal heart tones are 160-170 bpm with minimal variability and repetitive late decels. What do you suspect is happening? What actions will you take? Discuss all rationales.
A primigravida client who is at 33 weeks gestation presents to the labor and delivery unit...
A primigravida client who is at 33 weeks gestation presents to the labor and delivery unit with complaints of a headache. the initial assessment findings include blood pressure 144/96 mm Hg, facial edema, and 3+ pitting edema in lower extremities. Which assessment should the nurse perform next? A     intensity of pain with contraction. B     Deep tendon reflexes and clonus. C     Fetal heart rate. D     Temperature, pulse, and respirations.
A 28-year-old primigravida 38 weeks gestation is admitted into labor and delivery 3cm dilated, 100% effaced...
A 28-year-old primigravida 38 weeks gestation is admitted into labor and delivery 3cm dilated, 100% effaced vertex with the head floating. The patient presses her call light stating that she felt a gush of fluid and felt something between her legs. The nurse assesses the patient and notes a prolapsed cord. Immediately the nurse reacted, and then called another nurse to assist with contacting the healthcare provider, and assist with prepping the patient and her support person for the next...
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...
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...
Fiona Hartfield is a 28 year old G1 P000 at 33 weeks gestation. She presents to...
Fiona Hartfield is a 28 year old G1 P000 at 33 weeks gestation. She presents to Labor and Delivery with a history of two hours of uterine contractions. She does not believe that her bag of waters is broken. A fetal fibronectin test is positive. What does the positive finding indicate? Good news; it is unlikely that preterm labor and birth will occur. Concerning news; it is indicative of the possibility of preterm labor and birth, and further evaluation is...
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...
Fiona Hartfield is a 28 year old G1 P000 at 33 weeks gestation. She presents to...
Fiona Hartfield is a 28 year old G1 P000 at 33 weeks gestation. She presents to Labor and Delivery with a history of two hours of uterine contractions. She does not believe that her bag of waters is broken. A fetal fibronectin test is positive. Fiona’s bag of water breaks while in triage. What might be used to confirm this? Nitrazine paper Microscopic ferning study Visualization of pooling via speculum All of the above.