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Renee Wilson Room 302Thisar stued dvi y reaC soou urcrs eeH wer aso.comRenee Wilson, 26 y/o G1P0 admitted four hours ago to the Birthing Center.She has had an uncomplicated pregnancy, but her obstetrician hasexpressed the concern about needing a c-section because of the anticipationof a large baby. Her last ultrasound estimated fetal weight at 9 lbs. 6 oz. Sheand her husband have attended Lamaze Prepared Childbirth Classes andtheir Birth Plan includes the desire to have an unmedicated labor and vagin*lbirth. She also desires skin to skin contact with her baby at birth andbreastfeeding. Admit assessment findings: Sterile vagin*l exam (SVE) - 4 cm,80% effaced, and fetal vertex at a -2 station with intact membranes, slightbloody show. BP 110/70 mmHg, P. 88 beats/minute, R 24 breaths/minute; T98.8 F. 37.1 C. FHR 150 baseline with moderate variability + accelerations,absent decelerations (Category 1). Contractions are occurring every 2minutes, lasting 60 seconds with moderate intensity per palpation. Portabletocodynamometer and fetal ultrasound transducer are in place. She is usingshallow-chest breathing and conscious relaxation techniques and isambulating in her room. She rates her pain at 5/10. She tells you that shewill feel like a failure if she can’t deliver vagin*lly.You responded correctly to 5 out of 6 evaluations:shYourresponseExplanationIncreased Status assessment reports she is a G1 having attended childbirth classes, butacu ...
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