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Josie Year Gravida Assignment Help: How to Answer This Question

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to josie year gravida 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 josie year gravida. A strong answer should include explanation, application, and examples.

Original Question

Josie is a 26 year old gravida 2 para 1. Her pregnancy has been healthy to date. She and her husband are very happy about this pregnancy. Their first child is three years old. Josie is a secondary school math teacher. She has remained employed throughout the pregnancy until last week when voiding frequency and urgency, and shortness of breath became such problems that she decided to take a leave until after the baby is born. They plan to deliver at the birthing center where their first child was born. Josie’s pregnancy is at 38 weeks gestation. She was just seen in the midwifery clinic this morning. The urine chemstrip was negative; BP and FHT were normal. The baby was at -1 to -2 station and her cervix was 80% effaced and 2 cm dilated. Josie has lost two pounds since last week. She has no edema and no headaches or vision changes. At that time she was not experiencing any contractions. Intrapartum information At 0100 hrs Josie and her husband call the midwife to tell her that Josie’s waters have broken, and they are going to the birth center. When the midwife greets them Josie is smiling and relaxed. She has been having contractions for about four hours at home and they are just beginning to get strong. The baby is active. Immediately upon getting to the birth center Josie asks to use the toilet. As soon as she sits down she tells the midwife that something is coming out of her vagina. The midwife recognizes a prolapsed cord. Questions The midwife calls the nurse to assist in positioning Josie. What positions will they place her in? What are the risks associated with prolapsed cord? What factors contributed to the prolapsed cord? While the midwife does a vaginal exam, the nurse checks the fetal heart tones. What patterns might the nurse expect to hear? What other immediate actions are needed at this time? Should the cord be replaced into the vagina? Why? At the hospital Josie is given an emergency caesarean section. (it is less than 30 minutes since she first entered the birth center) The baby’s APGARS are 2 at one minute. The baby is put on a ventilator and admitted to the neonatal intensive care unit. Within 8 hours the baby is able to be removed from the ventilator and is doing well. What problems can be anticipated for this baby?

 
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