April, a31 year oldG1P0000, is in active labor when she presents to…

Question April, a31 year oldG1P0000, is in active labor when she presents to… April, a 31 year old G1P0000, is in active labor when she presents to you at the birthing center, reporting that her “water broke” about 1 hour prior. Upon arrival, it was confirmed that April’s membranes had ruptured, and the fluid was clear. She has been in labor for 10 hours and is clearly tired and seems to be having difficulty coping with the pain. Her contractions are occurring every 2 to 4 minutes, lasting 50 to 60 seconds, and are moderate to strong in intensity. You assess the fetal heart rate of 120 to 130 with early decelerations; moderate variability is present. April’s vital signs are stable, and her lab results are within normal limits. She is contemplating an epidural for pain control, even though she had specified in her birth plan that she wished for a “natural” childbirth. She is asking how much longer it will be until the baby arrives and whether this amount of time in labor is “normal.” A vaginal exam demonstrates the cervix is 100% effaced, 6 cm dilated with the vertex at 0 station in the LOT position.  1. Define active labor. What behaviors might you expect in active labor and what kinds of supportive care might you offer?   2. What would you advise April about typical labor trajectory vs. her labor experience? What types of interventions other than anesthesia might mothers plan on using/prepare with during pregnancy to cope with labor pain?  3. For what reasons might a mother prefer natural childbirth?    4. Describe how you would evaluate the strength of a contraction.  5. Discuss the advantages and disadvantages/side effects of regional anesthesia. 6. What are the differences between epidural anesthesia and spinal anesthesia? Health Science Science Nursing NURS 220 Share QuestionEmailCopy link Comments (0)

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