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Mary Ann is now in labor and arrives on the labor and delivery unit stating that today is her due date. Her membranes ruptured earlier in the day,...
Mary Ann is now in labor and arrives on the labor and delivery unit stating that today is her due date. Her membranes ruptured earlier in the day, and now she has mild contractions every five minutes. An examination reveals that her vital signs are stable, FHT 132/beats per minute in the lower right quadrant, and the fetal presenting part is the vertex at station +1. Her cervix is dilated 4 cm and 100% effaced. The physicians written admission orders include a lower one-third perineal shave, NPO and 1000ml dextrose 5% water, administered IV at a rate of 75/ml per hr. Indicate the nursing diagnosis for this patient, planning and goals, implementation and evaluation. Also complete two care plans: Maternity, laboring patient in 2nd stage of labor and postpartum patient.
