solved. Question
Answered step-by-step
Asked by jaojannericka22
Sally Hudson is a 28-year-old, G1P0, 41 weeks pregnant woman admitted
to your maternity service in labor.
CHIEF CONCERN:
“I’m in labor. Tell me what I’m supposed to do.”
HISTORY OF CHIEF CONCERN:Sally has been in labor for 8 hours; contractions have progressed from 30-
minute intervals to 5-minute intervals and from 10-second duration to 60-second
duration. She last ate or drank 8 hours ago.
FAMILY PROFILE:
She is separated from the father of baby for 7 months. Her close female
friend is with her to be support person in labor. The client works as French teacher
at state university; she is taking courses part-time toward her doctorate. She lives
in one-bedroom condo by herself. She has supplies prepared for infant.
HISTORY OF PAST ILLNESSES:
She had chickenpox at age 3 years. She had dislocated kneecap at age 14
years and again at age 16 years. She had no major illnesses and no hospitalizations.
HISTORY OF FAMILY ILLNESSES:
Her grandmother has Alzheimer’s disease. A sister had rheumatic fever as
a child.
GYNECOLOGIC HISTORY:
Menarche was at age 11 years; duration of cycle is 32 days. Length of
menstrual flow is 7 days. She was treated for trichomoniasis twice last year. She
had no other STIs.
OBSTETRIC HISTORY:
She had no previous pregnancies. This pregnancy was not intended but is
wanted. She had prenatal care with private obstetrician since second month; she
was found to be anemic early in pregnancy and was treated with extra iron
supplement. She attended preparation for labor classes with friend as coach.
DAY HISTORY:
Nutrition: 24-hour recall nutritional history reveals adequate pregnancy diet; took
prenatal vitamin and extra iron supplement routinely; last ate toast and coffee 8
hours ago
Sleep: Sleeps 6 hours per night; one afternoon nap
Recreation: Has participated in aerobics class for pregnant women during
pregnancy; had an exercise program of daily jogging before pregnancyREVIEW OF SYSTEMS:
Neuropsychologic: Had febrile convulsions two times as preschooler; maintained
on phenobarbital until she was 6; no further difficulty
PHYSICAL EXAMINATION
General appearance: Composed, well-groomed, young adult pregnant appearing
woman breathing without apparent distress with contractions; height: 5 ft 5 in.;
weight: 142 lb; temperature: 38°C; BP: 112/70 mmHg
HEENT: Normocephalic; nose: profuse clear watery discharge present; mucous
membrane red and swollen; throat: reddened; geographic tongue; coughing
periodically; ears: tympanic membrane slightly inflamed; good motility
Chest: Breasts full and soft; no masses palpable; lungs: rhonchi heard in all lobes;
respiratory rate: 20 breaths/min; heart rate: 70 beats/min, no murmur
Abdomen: Fundal height at 35 cm; fetus palpable in ROA position; linea nigra and
striae present: FHR: 150 beats/min
Pelvic examination: Cervix 6 cm dilated; 100% effaced; station +1
Extremities: Negative
Sally is diagnosed as being in active labor and also has an upper
respiratory infection.
please own asnwer
SCIENCE
HEALTH SCIENCE
NURSING
This question was created from Family during Labor and Birth.docx
