I am a senior nursing student in a diploma program in Cincinnati, OH. We have a scholarly paper in OB and I am stuck on two things. We have to list 5 priority nursing interventions and expected outcomes for a scenario. We have 10 scenario's and I have most of them but these two are throwing me. My question to you all is what do you think is going on with this patient? I will give you the two scenario's and tell you what I think, and if you feel like helping me out throw your two cents in. Thanks in advance.
Scenario #1: G1 P0 at 32 weeks is admitted to L/D with absence of FHT's and fetal movement. (no more info)
Could this be a Hydatidiform mole pregnancy or uterine rupture. Am I way off base? Would you want to get the baby out ASAP?
Scenario #2: You are taking care of a woman in the active phase of labor when her membranes rupture. The amniotic fluid is thick and green. (no more info)
Is this baby's meconium in the womb? Do you flush mom out before delivery? Should you have respiratory therapy be ready for suctioning and O2 on this infant? Is this something a nurse can do like a NICU nurse? This is a life threatening event for the baby, right?
Thanks so much for your time,