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Discussion

case study

plzzzz help me to solve this case study :) :)

As you move toward the house, you ask the dispatcher if ALS has responded. You are told the are already en route. when you walk into the room you see the mother on the bed and the father with the telephone cradled on his shoulder as he talks to the dispatcher. the father immediately stands aside, and you and your partner see crowning and realize that the delivery will take place

any minute you put on gloves and set up the OB kit while getting assessment information from the mother. It is her second delivers but it is 2 weeks early. labor started about an hour ago, and the pains have been more frequent lately and very intense. the water broke just before they called 911. while your partner is obtaining a set of vital signs, the baby starts to deliver. the head comes out and you notice that the umbilical cord is around the baby's neck.

You are able to slip it over the baby's head, and the baby continues to deliver. The shoulders and the wrest of the baby's body quickly follow.

QUESTIONS:

1. What immediate care should he provided to the newborn??

2. What care should your partner be giving to the mother?

plzzz help me ;)

  • Quote

    • Featured Replies

    Do you have an obstetrical nursing text? Did you read in it? What are the steps that should be taken with a newborn at delivery? What do you do for the mother? It's all in there. Don't just ask us, tell us what you know already and then ask us to clarify things that confuse you. "Tell me the answer" is not the same thing. :)

  • Quote
    • Expert

    Here is the deal.....nurses in the US DO NOT....I repeat DO NOT respond to 911 calls. We DO NOT...I repeat DO NOT respond to people's homes.

    All thing begin with standard question...airway breathing circulation.....questions to ask...it this your first pregnancy? how many children do you have ? when are you do? have you had difficult deliveries?

    What does your text say?

  • Quote
    dont understand case

    What don't you understand? Have you taken OB/Maternity nursing? If so, refer to your notes/text regarding caring for the newborn and the mother in the immediate post-partum period.

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