Title: Activity/Case Study 2 - Worth 10 Points
Course: NUR 1411C Nursing Care for the Family Part 1 > Section: Module 3

Read the following case details and answer the questions in a Word (.doc or .docx) or Rich Text (.rtf) file. Upload the file in this Assignment. Be sure to number your questions and answers, use appropriate professional terminology, and pay attention to grammar and spelling.

Christine presents to Labor and Delivery in active labor. The fetal heart rate tracing shows moderate variability with accelerations and a baseline of 140bpm. Contractions are 3-4 minutes apart, moderated intensity by palpation, lasting 60-90 seconds. A cervical exam reveals she is 5cm dilation, 90% effacement, and -4 station. During the admission process she experiences a spontaneous rupture of membranes (SROM) with meconium stained fluid.

1. What is the most important nursing intervention immediately following SROM? Why? (2 points)

The fetal heart rate drops to 90bpm. A vaginal exam reveals a prolapsed cord.

2. Describe the appropriate nursing interventions at this time with rationales.(3 points)

Christine is prepped for an emergency cesarean section.

3. Discuss complications associated with c-section deliveries. (3 points)

4. Identify 1 pathophysiological and 1 psychosocial nursing diagnosis for this patient at this time. (2 points)