Answer Happy

Client Profile: Jennifer is a 17-year-old, G1 PO, single white female. Jennifer is an active high school senior. She attended childbirth classes held at her high school. She attends a special program for pregnant teens. She has been careful to eat well and avoid all hazards that might harm her baby. She is looking forward to holding her baby and does not appear to be afraid of the coming labor. The father of the baby is an 18-year-old senior, who is very committed to their relationship and plans on marrying Jennifer after the baby is bom. Case Study: Jennifer is admitted in active labor at 36-2/7 weeks gestation. She has been experiencing contractions for the past 6 hours. For the past 2 hours, they have been getting stronger and lasting up to one minute each. She believes that her membranes may have ruptured. She is accompanied by the father of the baby, her mother, and a doula. Upon examination, the nurse determines that she is 3 cm. dilatated: 90% effaced, and at a station of --3. The baby's heart tones are 120's with no decelerations. The nurse confirms that her membranes have ruptured spontaneously (SROM). According to Jennifer, this occurred two hours ago (about 6:00 am). Contractions are one minute in length, q 5 minutes, strong with good relaxation between contractions. Client Profile: Jennifer is a 17-year-old, GI PO, single white female. Jennifer is an active high school senior. She attended childbirth classes held at her high school. She attends a special program for pregnant teens. She has been careful to cat well and avoid all hazards that might harm her baby. She is looking forward to holding her baby and does not appear to be afraid of the coming labor. The father of the baby is an 18-year-old senior, who is very committed to their relationship and plans on marrying Jennifer after the baby is born. Jennifer complains that she needs to push. What are the consequences if she were to push at this point? Jennifer does not progress in the next two hours, the baby is developing a large caput, and the FHTs are now 150s with an occasional variable deceleration Contractions are every 2 minutes, 90 seconds in length, and strong with good relaxation between The obstetrician expresses concern that he may need to do a cesarean section. Jennifer asks for more time to see if she can begin to progress again. What are the reasons the doctor may need to do a c/s? What are other concerns regarding the length of time labor is occurring?