I need help with the following
1. 3 psychosocial concerns
2. 3 priority nursing diagnoses
3. 3 medications
Critical Thinking Map for Care of the woman and Fetus when Late Decelerations are present Case Study Scenario: 23-year-old GIPO, who came in for an induction this morning at 39 weeks and 5 days. She had an uncomplicated prenatal course except she is positive for Group B strep and occasionally uses an inhaler for her asthma. Her labor has progressed slowly. She's now 4 cm/90% effaced and +1 station. She ruptured membranes about 30 minutes ago, and it was clear. Contractions every 90 seconds, lasting 45 seconds. Pulse 90 BP 135/85 Temp 37.2 FHR 140. Category 1 Her vitals have been within normal limits all day. She's been at an oxytocin rate of 20 milliunits/min since about noon. She doesn't want an epidural yet. Her husband just left 15 minutes ago to get some dinner. ONE HOUR later..... Contractions are now lasting 60 seconds and occurring every 90 seconds. Pulse 110 BP 140/85 Resp Rate 20 FHR: 130; late decelerations with minimal variability are occurring with each contraction (Category III). A late deceleration does not recover to baseline and evolves into a prolonged fetal bradycardia with FHR of 65. Complete the critical thinking map for this patient and fetus with the excepted assessments, interventions and remaining sections as indicated in the critical thinking map.
Name Priority Assessments (Physiological Adaptation) Critical Thinking Map Concept: Care of the Woman and Fetus When Late Decelerations are present Brief Pathophysiology (Physiological Adaptation) Date Nursing Interventions (Basic Care & Comfort Safety & Infection Control 1. 1 2. 2 3. 3 Risk Factors (Health Promotion & Maintenance/Reduction of Risk Potential) Medications (Pharmacological & Parenteral Therapies 1. 1. 2 2. 3. 3. Priority Nursing Diagnosis 1. Psychosocial Concerns (Psychosocial Integrity) 2 3. Patient Teaching (Health Promotion & Maintenance/Safety & Infection Control Management of Care) 1. 1 2 2 3 Potential & actual complications from treatments/ procedures (Physiological Adaptation/Reduction of Risk Potential) 1 Labs & Diagnostics (Reduction of Risk Potential) 2. 1. 3. 2 3
I need help with the following 1. 3 psychosocial concerns 2. 3 priority nursing diagnoses 3. 3 medications
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