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Surgery Cases Surgery Study Cases (Obstetric and Gynecology, Ophthalmic, Otolaryngology) SURGERY STUDY CASE 2 Surgery Study Case Study Case 1: Shannon is a 23-years old primipara who has just been admitted to the labor and delivery unit Room 3 for Dr. Templeton. She has had a normal pregnancy, and sonograms confirm only one fetus with a cephalic presentation. Her cervix is dilated to 4cm and 40% effaced. Her blood type is AB negative. 1. How long, on average, would you expect her labor to continue? Taking into consideration that our patient is at her first pregnancy and that her cervix is dilated to 4cm we would consider it being the first stage of the labor that should take between 6-18 hours. Once the cervix is dilated to 10 cm it enters the second stage. 2. Using Table 15-5 in the textbook, list the information that is to be recorded on the monitoring board. The following information should be recorded on the monitoring board of our patient : Room (3), Doctor (Templeton), Gravida/Parity (1/1), Dilation ( 4 cm), Effacement ( 40%), Station (0) , Care Notes : Negative RH 3. During stage two, the fetal heart tones begin to slow and do not increase. The physician is notified and he orders a stat cesarean section. Why? Stage two represents the period of time after the cervix is dilated to 10 cm and lasts until the baby is delivered. The decrease in the fetal heart tones without any signs of increasing shows us that this is an emergency situation and the baby needs to be ...
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