Question

348 Section 3 Surgical Procedures Case Studies CASE STU DY 1 Shannon is a 23-year-old primipara who has just been admitted to the labor and delivery unit Room 3 for Dr. Templeton. She has had a normal pregnancy, and sonograms confirm only one fetus with a cephalic pre sentation. Her cervix is dilated to 4 cm and is 40 percent effaced. Her blood type is AB negative 1. How long, on average, would you expect her labor to continue? 2. Using Table 15-5 in the textbook, list the information that is to be recorded on the monitoring board During stage two, the fetal heart tones begin to slow and do not increase. The physician is notified and he orders a stat cesarean section. Why? . The mother is placed on the operating table (OR) table. Describe her position. Why does she need a Foley catheter? 5. The surgeon makes an incision into the uterus and completes the the sterile field prepared for imminent delivery of the fetus? Wha geon once the head is delivered? delivery of the baby's head. How is is the first thing you will give the sur-

Answer 1

1. 4 to 6 hours we can wait for labor.

Per vaginal examination should be done only for every 4 hour.

Cervical dilation occurs at the rate of 1cm/hour in primi and slighter faster in multigravida.

So it takes 4-6hours for full dilatation of cervix. But for every half an hour fetal well being to be monitoresd by means of fetal movement and heart rate should be monitored. If there is any abnormalities it indicates fetal destress. So that immediately go for LSCS.