A 26-year-old G2P1 woman at 41 weeks gestation is brought in by ambulance. The emergency medical technician reports that a pelvic examination performed 20 minutes ago when the patient had a severe urge to push revealed that she was fully dilated and the fetal station was 2. Fetal heart tones were confirmed to be in the 150s, with no audible decelerations. When the patient is placed on the fetal monitor, the heart rate is noted to be in the 60s. The maternal heart rate is recorded as 100. Without pushing, the fetal scalp is visible at the introitus. A repeat pelvic exam shows that the infant is in the occiput anterior position. What is the most appropriate next step in the management of this patient

Answers

Answer 1

Answer:

Have the mother push with her next contraction

Explanation:

the baby is in danger now with heart rate of 40. Mother is fully dilated and the baby is in the best (normal) position for labor. The baby needs to be delivered promptly.


Related Questions

A 2-year-old unvaccinated boy is rushed to the emergency department with concerns for respiratory distress. His mother reports that he awoke in his usual state of health and was playing alone in the playroom when mom heard him have a coughing fit. Since that time, he has been choking and coughing, has had inspiratory stridor, and developed significant increased work of breathing. What is the most likely etiology of his stridor

Answers

Answer:

airway  obstruction from foreign body

Explanation:

The 2-year old was playing alone in the playroom. Children at this age are curious and it's likely he put something in his mouth and it's lodged in his throat, obstructing his aiway. The obstruction would explain the stridor, choking, and coughing. Telling you the child is unvaccinated is a distractor, it is important to recognize the child woke up healthy in his normal state of health.

A 53-year-old woman collapses while gardening. She is unresponsive, is not breathing, and does not have a pulse. A neighbor, who is an emergency medical technician, rushes to her with an AED. After the AED pads are attached to the person, the AED detects ventricular fibrillation. What is the next step when using an AED

Answers

Answer:

Ventricular fibrillation presupposes one to defibrillate by first chjarging the AED to 200 joules and asking eeverybody to clear or stay away from the victim and shock the victim.

Explanation:

An 85-year-old retired teacher comes to your office for evaluation of weakness. You obtain a complete history, perform a thorough physical examination, and order laboratory tests. You diagnose her with hyperthyroidism. Based on her age, which of the atypical symptoms of hyperthyroidism is more likely to be seen

Answers

Answer:

weight loss

excessive hunger

rapid heartbeat

irritability

There are numerous recommendations from a variety of bodies regarding sodium intake. Match the mg of sodium with its corresponding recommendation: - The Adequate Intake (AI) value for sodium for men and women ages 9-50 years: - The Tolerable Upper Intake Level (UL) for sodium per day: - The amount of sodium the Percent Daily Value (%DV) is based on: - The amount of sodium needed per day to maintain physiological function: A. 200 mg B. 2,400 mg C. 1,500 mg D. 2,300 mg

Answers

Answer:

- The Adequate Intake (AI) value for sodium for men and women ages 9-50 years: C. 1,500 mg

- The Tolerable Upper Intake Level (UL) for sodium per day: D. 2,300 mg

- The amount of sodium the Percent Daily Value (%DV) is based on: B. 2,400 mg  

- The amount of sodium needed per day to maintain physiological function: A. 200 mg  

Explanation:

Sodium is a key dietary micronutrient that must be consumed daily in foods and beverages because the body is not able to generate sufficient quantities on its own. The World Health Organization (WHO) recommends a daily intake of 2 grams (2,000 mg) of sodium, whereas the American Heart Association (AHA) recommends 1,500 mg per day. Sodium is critical for regulating fluid levels in the body, muscle contraction, transmission of nerve impulses, and blood pressure. However, an excessive sodium intake can be harmful, because it holds extra fluid in the body, thereby creating an added burden on the heart and increasing blood pressure. In consequence, an excess of sodium in the diet may cause health problems such as heart diseases and stroke.

Brainlist Question.

What is the role of doctors in the society. Explain.​

Answers

Answer:

I think the answer is Doctors are responsible for increased life expectancy and improved well-being in society. People who survive diseases such as cancer usually owe their survival to doctors, whose skills and dedication are vital for their cure.

Hope this helps you ^^

The observation is sometimes erratic with intravenous administration?

Answers

Answer:

False.

Explanation:

Intravenous drug administration consists of applying a drug directly into the patient's vein. This type of drug administration promotes more accurate observations on the drug's effects on the patient's body and on the drug's effectiveness in fighting the disease, mainly because intravenous administration allows the drug to act faster, even when applied in large volumes.

where and in which condition gold is found?​

Answers

Answer:

Gold is primarily found as the pure, native metal. Sylvanite and calaverite are gold-bearing minerals. Gold is usually found embedded in quartz veins, or placer stream gravel.

Answer:

gold minerals form in hot rocks in and around volcanoes.low sulfur,gold bearing hydrthermal fluids form when hot rocks heat ground water.gold is found in rivers and streams because water is the most efficient/fastest way of moving rocks.

I hope this helps

1. A researcher is investigating the effects of exercise on weight. What are the independent and dependent variables in this experiment?
A)The dependent variable is the amount of exercise; the independent variable is the number of calories consumed.
B)The dependent variable is weight; the independent variable is exercise.
C)The independent variable is weight; the dependent variable is the number of calories consumed.
D)The independent variable is the number of calories consumed; the dependent variable is diet.

Answers

Answer: The dependent variable is weight; the independent variable is exercise.

Explanation:

The dependent variable refers to the variable which depends on the independent variables which are the other factors that are measured.

The dependent variable is expected to change due to the manipulation of the independent variables. Since the researcher is investigating the effects of exercise on weight, the dependent variable is weight while the independent variable is exercise.

The USDA dietary guidelines recommend that individuals obtain approximately 0.80 grams of protein for each kilogram of body weight. This number should also fall between 10 and 35 percent of total daily calories. Jose weighs 152 pounds, which is a healthy weight for his height. He consumes about 2,200 calories a day. According to these USDA guidelines for daily protein intake, approximately how many grams of protein should Jose consume every day

Answers

Answer:

the correct answer is - 55 gm.

Explanation:

Psyllium is prescribed for the client diagnosed with a cardiac disorder to facilitate defecation and prevent straining with bowel movements. The nurse reinforces instructions to the client regarding administration of the medication. Which statement by the client indicates an understanding of the use of the medication

Answers

The statement by the client that indicates an understanding of the use of the medication will be "I SHOULD MIX THE MEDICATION WITH A FULL GLASS OF WATER."

PSYLLIUM is a type of medication that is mostly use in treating  a person or an individual that has constipation by helping to  increase  the amount of water in the stool, which is why it is often prescribed for a patient that had been diagnosed with a cardiac disorder which is a heart related disease by telling the patient TO  MIX THE MEDICATION WITH A FULL GLASS OF WATER in order to avoid or to prevent the patient from been choke from this medication which may lead to inability of the patient to breath, and to enables the disch:arge of faeces from the body  to be more easier  to pass.

Therefore The statement by the client that indicates an understanding of the use of the medication will be "I SHOULD MIX THE MEDICATION WITH A FULL GLASS OF WATER.

Learn more about Psyllium here:

https://brainly.com/question/4065257

All of the following are advantages of breast milk except Group of answer choices antibodies in breast milk help prevent against illness and infection. colostrum from breast milk is considered the infant's first immunization. breast-fed infants born prematurely perform better on IQ tests and have overall better cognitive performance. the protective effect breast milk has against obesity decreases if a mother continues nursing beyond one year.

Answers

Answer:

the protective effect breast milk has against obesity decreases if a mother continues nursing beyond one year.

Explanation:

A breast milk can be defined as the milk produced by a woman after delivering a child (childbirth), especially as a source of food and essential nutrients.

The advantages of the breast milk provided by a mother to her child (baby) include the following;

I. It prevents illness and infection because it contains antibodies.

II. It contains colostrum that serves as the first form of immunization for infants or babies.

III. Infants that are given birth to prematurely but who are well breast-fed usually perform better on IQ tests and have overall better cognitive performance.

All of the aforementioned statements are advantages of breast milk except that, the protective effect breast milk has against obesity decreases if a mother continues nursing beyond one year.

This simply means that, when a nursing mother continues to breastfeed her baby for over a year, it reduces its protective effect against obesity.

During a motor vehicle accident, a client sustained blunt trauma to the head and face, resulting in hairline skull fracture and a LeFort III maxillofacial fracture. The client has a Glasgow Coma Scale of 7 and bruising across the chest and upper abdomen and multiple small superficial bleeding abrasions and lacerations. On admission to the emergency department, what is the nursing care priority

Answers

Answer:

C) Perform endotracheal intubation.

Explanation:

Endotracheal intubation is done to keep the airway open in order to give oxygen, medicine, or anesthesia. It also supports breathing for serious internal/external trauma.

The training effect, in which individuals experience improvements in physical fitness as they continue a regular exercise regimen, is a product of All of the choices are correct. increased number of mitochondria in muscle cells. increased number of capillaries in muscles. increased efficiency of the heart.

Answers

Answer:

- increased production of lactic acid by muscles

- increased number of mitochondria in muscles

- increased number of capillaries in muscles

Explanation:

The 'training effect' is an outcome of all the above changes in one's body that leads him/her to encounter advancement in their physical fitness post pursuing a continuous exercise routine. Regular exercise assists the body in enhancing its ability to produce more lactic acid, mitochondria, and capillaries that improve the body's strength and metabolism that shield it from diseases, muscle cramps, and make him feel fitter, stronger, and healthier. The exercise keeps one energized throughout the day to work efficiently without getting strained due to the above factors and hence, it is promoted that one should follow a regular exercise regimen.

A 4-year-old boy presents to your office with watery nonbloody diarrhea for the last three months. He has occasional abdominal pain prior to the onset of the diarrhea and his mother noted worsening flatulence, especially after meal times. Mom denies any recent travel or camping and the patient does not go to school or daycare. On exam, he is 60th percentile for weight and height (similar to his last well-child check), appears well, and has a normal abdominal exam. What is the most likely diagnosis

Answers

Lactase deficiency because Without enough of the lactase enzyme, your body can't metabolize dairy, leading to digestive problems like diarrhea, abdominal cramping or pain, bloating, gas, nausea, and sometimes even vomiting about 30 minutes to two hours after eating it.

What do you know about the disease epilepsy? Which is the treatment? ​

Answers

Epilepsy is a central nervous system disorder in which brain activity becomes abnormal, causing seizures or periods of unusual behavior, sensations, and sometimes loss of awareness.

Treatment: medications, sometimes surgery devices, or dietary changes can control seizures for the majority of people with epilepsy. Some people require lifelong treatment to control seizures, but for

A client is admitted to a long-term care facility with the diagnosis of weight loss secondary to anorexia. The primary health care provider prescribes an enteral tube feeding of a standard formula to run at 40 mL/hr. A nursing student is assigned to care for the client, and the nursing instructor asks the student to describe the nursing considerations related to a tube feeding. Which statement, if made by the student, indicates an understanding of this dietary treatment

Answers

Answer:

The correct answer would be - Enteral feedings require the normal digestive capabilities of the gastrointestinal tract.

Explanation:

Enteral nutrition includes ingestion of the nutrients by oral ingestion, gastrostomy tubes, nasogastric tube, or percutaneous endoscopic gastrostomy. The normal gastrointestinal (GI) digestive capabilities are a must for such methods.

If the GI tract is not normal then other methods are use for nutrient delivery such as parenteral nutrition. The caloric value of most standard enteral feeding formulas is 1 to 2 calories/mL.

How to get into medical school/ field

Answers

Answer:

just go for it bro

Explanation:

'owiefhn;odsng;oewind;riunb

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