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Premature Rupture of Membrane during Labor
Pages 4 (1004 words)
Premature Rupture of Membranes during Labor Name Institution Case Presentation An African American 20 years old female, at 36 6/7-weeks, G3P2T1P1A0L1, is admitted with premature rupture of membranes. She has no known allergies. Her GA presents to LRC with C/O LOF from 1330pm.
However, her pulse is at 80bpm, 37.7oC temperature, and blood pressure at 111/58, and normal respiration at 16. Fetal heart rate is at 140. The patient is under the monitor of IUPC for frequency, intensity, and duration of contractions. The fetus is monitored by the external electronic fetal. Cervical dilation is 4cm, station 3, and 70% effaced. Fetus is in cephalic presentation. At 1000 assessment, cervical dilation is still 4cm, station -3, and 80% effaced, and the patient is in pain and distress, with a pain of eight in a 1 to 10 scale. Pain medication administered and support person taught lower back massage to alleviate back pain. Fetal heart rates are at 138, with 3 to 5 minutes contractions ranging between 30 seconds to one minute long. At 1200, epidural block administered after patients complain of pain, and advised not to lie on her back. Nursing Diagnosis and Pathophysiology Managing labor at term with spontaneously ruptured membranes can be confusing. Concerns arise about the appropriate management for pre-labor rupture of membranes and the spontaneous rapture of membranes after the labor begins. The nursing diagnosis priority is the examination of the premature rapture of membrane through a thorough physical, history examination, as well as selected laboratory studies. ...
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