Nursing Assignment | Top Universities

I. Read chapters 14 to 17 from your Text Book

II. Case Study:  External Cephalic Version Followed by Induction of Labor
Maya is a 29-year-old G3P2 who arrives at the labor and delivery unit for an external cephalic version (ECV) at 39 weeks and 4 days. Her obstetric history is negative. Her other two births were full-term and uncomplicated normal births. Her medical-surgical history is negative. In the present pregnancy, the fetus was found to be in breech position today at her clinic visit. There have been no other problems in her pregnancy. She expresses fear of the procedure that is to be done, but she also expresses a strong desire to avoid a cesarean birth. She has had no symptoms of labor and denies spontaneous rupture of membranes.

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the importance of mental health
1. What are some contraindications to ECV?
procedure, then the procedure should not be performed; it will further stress the fetus.
2. What nursing care is indicated before the procedure?
3. The ECV was successfully performed, and now Maya and her provider elect to induce labor at patient request because she is afraid the baby might turn again. Maya’s cervix is soft, anterior, fingertip dilated, and long, with the vertex now at −3 station. What method of induction of labor would be most appropriate?
4. The physician inserted a Foley catheter through the cervix and inflated it with 40 mL of normal saline for cervical ripening. Five hours later, Maya calls the nurse and states that the catheter has fallen out. What is the most likely explanation for the expulsion of the catheter?
5. Maya is now dilated 4 cm/60% effaced and the vertex is at −3 station. The physician has ordered oxytocin infusion per protocol. What nursing actions demonstrate safe use of oxytocin?. Get  Nursing Assignments  Help Today

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