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Get Answer: Rebecca Seen Clinic Question Guide

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to rebecca seen clinic and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves rebecca seen clinic. A strong answer should include explanation, application, and examples.

Original Question

Rebecca is seen in the clinic at 41 weeks with complaints of decreased fetal movement. The physician orders for Rebecca to go to the Labor and Delivery unit for an NST to be preformed. Rebecca is now at the hospital for observation and to have an NST completed. The NST results indicate FHR 125, moderate variability, little accelerations, and three late decelerations are present. The physician is notified of the results and orders for Rebecca to be admitted for an induction. Upon cervical assessment, it is noted that she is only 0.5 cm dilated and effacement is unattainable. Rebecca is upset because her birth plan was to have a natural delivery without induction. As the induction progresses through the night, the nurse assesses Rebecca’s cervical status. Upon cervical assessment, her cervix is now 4cm dilated and 70% effaced. The physician desires to perform an amniotomy to aid in the labor progress, resulting in a moderate amount of green amniotic fluid with a slight abnormal odor. Rebecca remains 4cm dilated and 70% effaced for several hours, and the fetus begins to show signs of compromise/distress. Rebecca was taken to the OR for a cesarean section. Questions 1. What is a NST and what can it infer about the fetus and what is the significance of Rebecca’s NST results? 2. What are the three priority admission assessments? 3. What can the nurse do or say to Rebecca to ease her anxiety and worry of a change in her birth plan? 4. What must be confirmed (regarding fetus) before a vaginal delivery induction begins? 5. What medication is likely to be ordered for Rebecca’s induction and why? (Remember we need to soften then dilate.) 6. What is an amniotomy and what is the significance of Rebecca’s amniotic fluid assessment?

 
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