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)