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    Shoulder Dystocia

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    Nicole Genevie Mallari
    The patient was experiencing painful contractions and discomfort during labor with the fetal chin appearing fixed in the perineum, indicating a diagnosis of shoulder dystocia which puts the mother at risk for injuries. The nurse's interventions included assessing risks, monitoring the patient's condition, assisting with the McRoberts maneuver to rotate the baby for delivery, preparing for possible episiotomy or c-section, and evaluating hydration due to risks from prolonged labor. After 30 minutes of effective nursing care, the baby was successfully delivered and the patient's condition improved.

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    Shoulder Dystocia

    Uploaded by

    Nicole Genevie Mallari
    243 views3 pages
    The patient was experiencing painful contractions and discomfort during labor with the fetal chin appearing fixed in the perineum, indicating a diagnosis of shoulder dystocia which puts the mother at risk for injuries. The nurse's interventions included assessing risks, monitoring the patient's condition, assisting with the McRoberts maneuver to rotate the baby for delivery, preparing for possible episiotomy or c-section, and evaluating hydration due to risks from prolonged labor. After 30 minutes of effective nursing care, the baby was successfully delivered and the patient's condition improved.

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    The patient was experiencing painful contractions and discomfort during labor with the fetal chin appearing fixed in the perineum, indicating a diagnosis of shoulder dystocia which puts the mother at risk for injuries. The nurse's interventions included assessing risks, monitoring the patient's condition, assisting with the McRoberts maneuver to rotate the baby for delivery, preparing for possible episiotomy or c-section, and evaluating hydration due to risks from prolonged labor. After 30 minutes of effective nursing care, the baby was successfully delivered and the patient's condition improved.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    243 views3 pages

    Shoulder Dystocia

    Uploaded by

    Nicole Genevie Mallari
    The patient was experiencing painful contractions and discomfort during labor with the fetal chin appearing fixed in the perineum, indicating a diagnosis of shoulder dystocia which puts the mother at risk for injuries. The nurse's interventions included assessing risks, monitoring the patient's condition, assisting with the McRoberts maneuver to rotate the baby for delivery, preparing for possible episiotomy or c-section, and evaluating hydration due to risks from prolonged labor. After 30 minutes of effective nursing care, the baby was successfully delivered and the patient's condition improved.

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    Clinical Scenario: Dystocia (Shoulder Dystocia) 

    Assessment Diagnosis Planning Intervention Rationale Evaluation

    Risk for After 30 minutes After 30 minutes of


    Subjective: maternal of nursing effective nursing
    “Pahilab hilab na injury related intervention, the This is helpful in intervention, the
    yung tiyan ko, di na to mechanical patient will 1. Review the patient identifying causes, patient was able to
    nga ako mapakali obstruction as maintain safety history of labor, needed diagnosis maintain safety and
    kapag humihilab” manifested by and participate onset and duration and appropriate participate in 
    as verbalized by fetal chin fixed in measures intervention. measures that protect
    the patient  in the that will protect herself during the
    perineum  herself during delivery as
    the delivery Shoulder dystocia manifested by patient
    Objective: may cause the statement
    2. Assess the
    patient to have “Maginhawa na ang
    patient’s risks for
    vaginal bleeding due pakiramdam ko” and
    vaginal tearing and
     Fundal to the unnatural the baby was
    bladder damage
    height: 40 position of the baby successfully
    cm during delivery delivered, thus the
    goal was met

     Cervix
    Dilation: Heavy vaginal
    10cm 3. Monitor the bleeding may result
    patient’s level of to hypotension and
    consciousness lower level of
    using AVPU Scale consciousness
     Fetal chin
    (Alert, Voice, Pain
    appeared Stimuli,
    fixed in the Unconciousness)
    perineum

    4. Assist in performing
    the McRobert’s The McRobert’s
    Maneuver maneuver is a
    position where the
    legs are pulled
    towards the
    stomach. It
    promotes the
    rotation of the pelvis
    to let the baby pass
    through easily.
    5. Prepare the
    patient for
    immediate surgical An episiotomy is
    intervention to when an incision is
    deliver the baby  made on the
    perineum which is
    the area between
    the vagina and
    anus. It prevents
    tearing and opens
    the birth canal
    allowing more room
    for the baby to pass
    6. Evaluate  through
    degree of
    hydration. Note
    amount and type of
    intake. Prolonged labor can
    result in a fluid
    electrolyte
    imbalance and
    prolonged labor with
    increased risk of
    uterine infection,
    postpartum
    hemorrhage, or
    precipitous delivery
    in the presence of
    hypertonic labor

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