Question

Mrs. Main. is a 27-y/o gravida 3, para 2, who was admitted at term at 6:30 p.m. She stated that she had been having contractions 7 to 10 minutes apart since 4 p.m. They last 30 seconds. She also stated that she had been having "a lot of false labor" and hoped that this was "the real thing". Her membranes are intact. Mrs. Main's temperature, pulse and respirations are normal, and her blood pressure is 124/80. The fetal heart tones are 134 and regular. Mrs. Main vaginal assessment is 4/ 80%/ +1 She reported her findings to the doctor and he ordered Fentanyl 50 mcg every hour as needed for pain.

1. In the information provided, do you think Mrs. Main is in true or false labor? Give reasons to support your answer.

Answer 1

Based on given information ,Mr.Main was in true labor. Her vaginal assessment findings *4 centimeters of cervical dilatation *80 degrees of effacement. *+1 station of fetal head . these findings suggest that these are true labor pains. Dilatation describe how wide the cervix has became. Effacement is a measurement of how thin and elongated the cervix . Station is the measurement of the Baby relation to the ischial spines.Fetal station describe how far down baby head has descended into pelvis. Fetal station measure on scale from -5 to +5. * -5 to 0 station indicate the presenting part is above the ischial spine. *0 station indicates Presenting part known to be engaged. *0 to +5 indicate presenting part descended beyond the ischial spine. At birth presenting part will be at +4 or +5 .