CASE SCENARIO: DR/NURSERY

A 27-year-old female who is 40 weeks and 2 days pregnant, with contractions occurring once
every 10 minutes. The patient is checked in, vital signs are normal, fetal heart tones are normal
and the mother and father to-be are settled into their room for the night. It is 4 am and the call
light goes off. The patient reports she is feeling contractions every 2 minutes now and she
thinks her water may have broken.
The nurse prepares to test the fluid that has leaked down the patients’ leg. The test comes back
positive for amniotic fluid. The nurse informs the doctor and prepares the patient to deliver.
The nurse is prepared for the delivery and is talking the mother through her breathing, the cervix
is dilated to 7 cm and the contractions are now 1 minute apart.
Vital signs are as follows:
RR 30 bpm
HR 125 bpm
BP 110/67 mmHg
Fetal HR 133 bpm
The nurse checks the presentation of the baby and notes the baby head is in the vertex
position, the bottom is inThe nurse monitors mom and baby for another hour and upon re-
checking the position of the baby the nurse notes that the baby is now +1 station and the
cardinal movement is descent and flexion. the frank position and baby is in the -1 station.
As the baby is delivered the occiput is facing the right side of the pelvis and towards the front
then upon delivery of the baby apgar scoring has made and routine done to the baby then to the
nursery for further management.after a few minutes placenta was expelled.