Essentials Of Maternity, Newborn, And Women’s Health Nursing Nursing Management During Labor and Birth

Essentials Of Maternity, Newborn, And Women’s Health Nursing Nursing Management During Labor and Birth

Essentials of Maternity, Newborn, and Women’s Health Nursing

Nursing Management During Labor and Birth

Every new life starts with an expedition, and the heart of this life-changing procedure lies the essential role of maternity, newborn, and women’s health nursing. Maternity, newborn, and women’s health nursing is a unique nursing field focusing on women’s care throughout their reproduction time. This nursing field demands a thorough comprehension of the specific physical, emotional, and social requirements for women and infants. Nurses working in the area must provide sympathetic care to women during labor and delivery, handle any complications during pregnancy and childbirth, and the nurse should provide education and support to new mothers (Altman et al., 2020). Nurses in this area significantly promote women’s health by averting illness through education and preventive care. This essay explores a case study of Desiree, a 28-year-old G2P1 admitted to the labor and birth unit, and from the case study, the paper will identify the stage of labor and appropriate nursing interventions for the stage of labor, how the nurse determined that the external fetal monitor would be appropriate for Desiree, factors that would necessitate a change to internal fetal monitoring during labor, and the respond considering her birth plan, stage of labor, and assessment data.

Stage of Labor Evaluation and Recognizing Vaginal Findings and Equating Nursing Intervention

Based on the vaginal evaluation findings, Desiree is in the second labor phase, the pushing stage. The cervical dilation of ten centimeters indicates that her cervix is fully dilated, while a hundred percent effacement suggests that the cervix has thinned out fully. The positive one station indicates that the baby’s head is subsided into the pelvis and is approximately one centimeter above the ischial spines. In this phase, the nurse must motivate Desiree to start pushing with each contraction to assist in facilitating the baby’s descent through the birth canal. The nurse must offer directions on effectual pushing methods like deep breathing, utilizing the abdominal muscles, and pushing during contraction. The nurse must also continuously observe the fetal heart rate to ensure it remains encouraging. The nurse needs to develop a supportive and reassuring environment for Desiree during this phase. The nurse should provide emotional support, offer encouragement, and praise her efforts. Position changes like squatting or side-lying may be advocated to help in the baby’s descent and offer comfort for Desiree. The nurse is also responsible for preparing for the imminent birth by ensuring that all appropriate tools and supplies are readily available. This involves setting up the delivery table, collecting sterile instruments, and ensuring the availability of emergency tools in case of any unexpected complications. The nurse must be prepared to offer immediate newborn care once the baby is delivered, involving drying and stimulating the newborn, initiating skin-to-skin contact, and evaluating the baby’s initial respiratory effort and overall condition. Comprehensively, the nurse’s role throughout the second phase is to support Desiree physically and emotionally, foster effectual pushing methods, observe fetal well-being, and prepare for the baby’s birth.

Evaluation of External Fetal Monitor Fitness for Desiree and Consideration for Transitioning to Internal Monitoring During Labor

The nurse determined that the external fetal monitor would suit Desiree based on numerous factors. Desiree is considered low risk, as highlighted by her personal and family health history, physical assessment, and development of pregnancy without complications. This indicates that the likelihood of fetal distress or complications throughout labor is relatively low. In addition, Desiree’s birth plan highlights a preference for natural childbirth without pharmacological intervention, indicating that she deserves minimal medical interventions unless needed. The external fetal monitoring offers progressive observation of the fetal heart and uterine contraction, permitting the healthcare team to assess the fetus’s well-being and recognize any signs of distress (Yang et al., 2021). In Desiree’s case, the monitor suggests a favorable fetal rate of 130 beats per minute, indicating that the baby is abiding labor well. Since Desiree’s labor is continuing smoothly, her vital signs are stable, and there are no indicators of fetal distress, the external fetal monitoring is suitable for observing the progress of labor and the well-b