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Clinical Challenge: Meet Your Patient
Patient Profile
Patient: Emily
Age: 30 years
Gravida/Para: G1P0
Gestation: 40 weeks
Reason for Admission: Induction of labor
Current Situation
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Labor is progressing slowly.
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Receiving a Pitocin infusion.
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Has an epidural for pain management.
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Fetal heart rate is reassuring.
The provider has encouraged continued position changes to promote labor progress.
Your Challenge:
Using the information you've learned throughout this WebQuest and the evidence-based resources provided, answer the following questions:
1. Assessment
Before recommending movement or a position change, what maternal and fetal factors should you assess?
2. Nursing Interventions
Which maternal positions or assisted movements would be appropriate for Emily? Explain why you selected them.
-Emily progresses to 8/100/-2 but is complaining of severe back pain. You suspect baby is in OP.
-What position would help with that?
3. Safety Considerations
What safety precautions should be taken when assisting Emily with movement while she has an epidural and is receiving Pitocin?
4. Interprofessional Communication
What information would you communicate to the healthcare team before and after implementing position changes? Include examples of assessment findings you would report.
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