The Young Couple Has Come To The Clinic Concerned About Some

Question

The Young Couple Has Come To The Clinic Concerned Something Is Wrong The young couple has come to the clinic concerned something is wrong. At the last visit, ultrasound noted that the fetus was in a complete breech position. The woman has been experiencing contractions every 10 minutes lasting approximately 45 seconds. She feels the baby has not moved into the correct position. What assessments and concerns should the nurse address? What nursing diagnoses are appropriate for this couple? What expected outcomes should the nurse identify?

Dr. Jack HW Helper · Accepted Answer

When a young couple presents to the clinic with concerns about breech presentation, various assessments, nursing diagnoses, and expected outcomes need to be addressed to ensure both maternal and fetal well-being. Breech presentation occurs when the fetus is positioned with its buttocks or feet facing the birth canal, which may necessitate special consideration during delivery. With the mother experiencing contractions every 10 minutes and lasting approximately 45 seconds, it’s essential for the nurse to assess the situation thoroughly and provide appropriate support. Assessments and Concerns The first step for the nurse is to perform a thorough assessment of the mother and fetus. Key assessments include: Fetal Heart Rate Monitoring: Utilizing electronic fetal monitoring to assess the fetal heart rate's baseline, variability, and any signs of distress is critical, especially with the contractions noted. Assessment of Contractions: Evaluating the strength, frequency, and duration of the contractions is essential. The nurse should document these patterns to determine if they are consistent with preterm labor or another condition. Ultrasound Evaluation: Arranging for a follow-up ultrasound to visualize the fetal position and overall fetal health may be necessary. This provides essential information about the fetus's status and whether any interventions are needed. Maternal Vital Signs: Monitoring maternal vital signs (blood pressure, heart rate, temperature) can help identify any signs of infection or distress. Physical Examination: Conducting a physical examination to check for any signs of complications, including vaginal bleeding or fluid leakage. Concerns the nurse should address include the possibility of preterm labor if contractions become more frequent or intense, the risk of fetal distress due to the breech presentation, and educating the couple about potential delivery methods, including cesarean delivery if necessary. Nursing Diagnoses Based on the assessment

The Young Couple Has Come To The Clinic Concerned About Some ✓ Solved

The Young Couple Has Come To The Clinic Concerned Something Is Wrong

Paper For Above Instructions

Assessments and Concerns

Nursing Diagnoses

Expected Outcomes

Conclusion

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