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

If you wanted to consume enough micronutrients, you would choose foods high in ______________ and _________

Answers

Answer:

Vitamin C & Vitamin E

Explanation:

I'm not sure with the answer.

antibiotic-resistant strains of bacteria tend to first be found in hospitals. which factor explains why this is the case?

Answers

Answer:

Antibiotics are more likely to be present in hospitals, thus selecting for resistant strains.

is the interaction of two drugs taken together that enhances the effectiveness of both.

Answers

Yes, this can happen. The drugs can be combined to increase the control of the condition being treated.

Supra-additivity or synergism occurs when a mixture of two or more drugs produces a greater response than expected. So yes

A Holter monitor is: Select one: a. An EEG test b. A stress test c. Part of a chest CT scan d. An EKG taken during daily activity e. Part of a cardiac catheterization

Answers

Answer:

B. EEG test

Explanation:

A Holter monitor uses electrodes and a recording device to track your heart's rhythm for 24 to 72 hours

Diagnosis: Choose which of the following diagnoses for Barbara and provide at least two pieces of evidence from the case to support your claim. You can also include evidence that eliminates a choice as the likely cause of the symptoms. (Attach page)

a) severe allergic reaction to dust or cat
b) pulmonary embolism
c) cardiac infarction​

Answers

Answer: Severe Allergic Reaction

Explanation:

First off, you may use any of these descriptions of Barbara's results as evidence for her diagnosis.

Barbara's heart rate is high at 95 b/m, while the normal heart rate is 75 b/m.

Her blood pressure is low at 90/58, while the normal blood pressure is 110/65.

Arterial blood gas levels are low in oxygen partial pressure, with a 78. Meanwhile, her arterial carbon dioxide levels are a bit high at 49.

She has low CPK levels at 2.7 nanograms/mL, while the normal CPK levels should be at 3 nanograms/mL.  

Her blood troponin is normal, so no worries about that.

However, her breathing rate is at 20; the normal rate should be 12.

High blood troponin and CPK levels are part of a heart attack, so it's likely she doesn't have this.

That leaves us with either a severe allergic reaction or a pulmonary embolism.

They both include low blood pressure, shortness of breath, and rapid heart rate.

However, a severe allergic reaction probably wouldn't include an elevated heart rate. It usually includes a weak pulse.  

She probably has experienced chest pain if they have tested her for if she has been tested for troponin and CPK levels.

CPK levels may rise in patients with pulmonary embolism.

It would be more accurate to eliminate the option of pulmonary embolism in this case.

Therefore, Barbara is diagnosed with a severe allergic reaction.

I hope this helps, sorry if I am incorrect.  I have no experience in solving medical problems, but at least I am some sort of help.

A woman wants to use a contraceptive that protects against HIV and prevents pregnancy, but she does not want to depend on her partner to handle contraception. She should probably use a(n)

Answers

Answer:

condom that she brought of get another contraceptive for both pregnancy and hiv

Explanation:

Which organization offers certification examinations for the National Certified Medical Assistant and National Certified Medical Office Assistant

Answers

Answer:

National Center for Competency Testing (NCCT)

Explanation:

NCCT. National Center for Competency Testing

Sonya, who follows a vegan diet, eats plenty of brown rice and beans, but does not like the taste of milk alternatives such as soy, rice, and almond milks. She is therefore concerned about a potential deficiency of:

Answers

Answer:

i think the answer is

Explanation:

The foods have been produced through approved methods.

Respiratory system anatomy labeling:
What is number 8?

Answers

it is the cardiac notch

A disease that is always present at low levels in a restricted area of the world is known as a(n) ______ disease.

Answers

An endemic disease is a disease that is always present in a certain population or region. One of the most talked-about endemic diseases is malaria

Protein intakes of vegan athletes, especially young women, are often low. Protein recommendations for vegetarian and vegan athletes are ______ grams per kilogram of body weight

Answers

Answer:

1.3 to 1.8

Explanation:

What major systems work with excretory system

Answers

Answer:

The excretory system is a close partner with both the circulatory and endocrine system.

Explanation:

Answer: The excretory system is a close partner with both the circulatory and endocrine system.

Explanation:

A 38-year-old man with AIDS and a 26-year-old woman with no underlying conditions both become infected with the Epstein-Barr virus. Who will be more likely to have the most severe effects of this viral infection

Answers

Answer:

the woman with no underlying health conditions : Because she has an abundant supply of T cells, the EBV will be able to cause infectious mononucleosis

Sarah consumes approximately 2000 kcal/day. According to recommendations of the Dietary Guidelines for Americans, she should limit her saturated fat intake to fewer than ________ kcal/day. Multiple Choice 200 250 450 350

Answers

Sarah consumes approximately 2000 kcal/day. According to recommendations of the Dietary Guidelines for Americans, she should limit her saturated fat intake to fewer than  200 kcal/day.

hen you are performing CPR on an unresponsive person whom you know is choking, what modification should you incorporate

Answers

Attempt a jaw thrust instead of a head-lift

Individuals who have diseases that result in the malabsorption of ________ are at risk for a vitamin D deficiency.

Answers

Answer:

Individuals who have diseases that result in the malabsorption of fat are at risk for a vitamin D deficiency.

Explanation:

I hope this helps!

approximately what percentage of americans currently uses one or more prescription drugs?

Answers

Answer:

nearly 70% percent

Explanation:

Answer: nearly 70 percent

Explanation:

Preeclampsia is an abnormal increase in blood pressure after the 20th week of pregnancy. When a urinalysis is done, what is found that is not present in normal urine

Answers

Answer:

Preeclampsia is an abnormal increase in blood pressure after the 20th week of pregnancy. When a urinalysis is done, what is found that is not present in normal urine Ans.  - protein

which u.s. state produces the most maple syrup annually?

Answers

Answer:

The state of vermont.

Explanation:

Answer:

state of Vermont

Explanation:

After receiving chemotherapy for lung cancer, Mr. Clark experiences severe nausea and vomiting. The licensed practitioner orders 5 mg Compazine IM. You have Compazine in a 10mL multidose vial that provides the drug as 5 mg/mL. How many mL of Compazine will you administer to Mr. Clark

Answers

1ml of Compazine will be administered to Mr. Clark to prevent the after

effect of the chemotherapy.

We were told that there is a multidose of 5 mg/mL and the practitioner

ordering 5 mg of Compazine . We calculate the mL to be used by doing the

following below:

We divide the multidose vial with the inverse of the order which is :

5 mg/mL × 1/5mg

= 1mL

Therefore the volume of Compazine to be administered to Mr. Clark is 1mL.

Red more about Drug use here https://brainly.com/question/1189815

Question 9 (1 point)
The poison control center will be able to provide you with the most information regarding the appropriate treatment for a patient with a drug
overdose if the center
O a
Ob
ос
is aware of the patient's age and gender
is aware of the substance that is involved.
knows why the patient overdosed on the drug.
knows the location of the closest hospital.
Od

Answers

Answer:

B

Explanation:

If they know what you overdosed, they can help determine treatment.

Estriol levels in conjunction with hCG, inhibin A (inhA), and alpha-fetoprotein (AFP) can be obtained during pregnancy to:

Answers

Answer:

Assess the risk of Down's syndrome

Explanation:

True or false: General care for a person with a sudden illness requires that 9-1-1 or the designated emergency number be called for every incident.

Answers

Trueeeeeeeeeeeeeeeeeeeee

General care for a person with a sudden illness requires that 9-1-1 or the designated emergency number be called for every incident. This is a true statement. Different countries have different designated numbers for such health issues.

What is emergency health care?

Most hospitals in developing or developed countries do have an emergency ward where patients with critical health conditions can be admitted quickly. Emergency health facilities are different in different countries. This emergency includes a sudden heart attack or any type of other medical condition. Doctors and experts are on hand almost constantly for the patient, who has admitted to being in a life-threatening situation.

Different countries have different health care numbers that the patient can contact to reach the hospital. It is a facility where patients can go to get their problems checked out in order to save their lives.

Hence, this is a true statement that General care for a person with a sudden illness requires that 9-1-1 or the designated emergency number be called for every incident.

Learn more about the health care, here

https://brainly.com/question/17462456

#SPJ2

which statement is true about the shell of the egg?*
Mark only one oval.
Brown colored shells mean the egg is more nutritious
Shells need to be washed prior to using the shell
0000
Shells are not porous
Odors and tastes can be let in through the shell

Answers

Answer:

Brown colored shells mean the egg is more nutritious

Explanation:

Brown eggs are laid by red-feathered chickens with red ear lobes.  The red feathered chickens are required to eat more food ( because they are larger in size), which means they consume more nutrients.

I might be wrong, but I'm almost 99% sure that this is the right answer.

What equipment is generally used to make lyophilized medications suitable for administering to the patient? a) Test tubes or sterile ampules O b) Petri dishes and sterile droppers c) Sterile syringes or graduated cylinders d) Measuring cups and clean, warm water

PLZZZZZZ HELP ME ASAP!!!????
write a creative story about labor and delivery from the perspective of the baby as if he or she is telling other babies what to expect.

Answers

Answer: When I was about to be born I fellt a big rumble followed bye a verry loud pop.THen i saw some tipe of light I was scared at first but then i went closer to it. UNtill I eventually fell out into the doctors hands then he yelled ITS A BOY! If I were you I would wait a litle longer and enjoy the comfort of the darkness before embrassing the light.

Explanation: HOPE IT HELPS PLS MARK BRANLIEST

caused by a virus that’s related to the virus that causes cold sores around the mouth. spreads through any form of unprotected sex, and can be spread even when someone has no signs of having the virus. may not cause any symptoms or can cause repeated outbreaks of blisters and painful sores in the genital area. has no cure, but medications can help control outbreaks.

Answers

Answer: HSV-1 is the virus that causes cold sores around the mouth. It can cause genital herpes when it spreads through oral sex. But most of the time, genital herpes is caused by HSV-2.

Explanation:...

Xerophthalmia, is a leading cause of preventable blindness due to a deficiency of Group of answer choices iodine. vitamin A. calcium. iron.

Answers

Answer:

Vitamin A

Explanation:

Xerophthalmia is an eye condition caused by vitamin A deficiency. Conjunctiva which is its milk form is very common in many countries. When it spreads to the cornea there is almost always a permanent defect in the victim's vision.

Hope this helps!!

Please tell me if I have made an error, I enjoy learning from my mistakes

A nurse is reviewing treatment options with parents of an infant born with severe combined immunodeficiency disease (SCID). The nurse recognizes that the parents understand the teaching based on which statement

Answers

Answer:

"We could have our 10-year-old daughter tested, as the ideal stem cell donor is a human leukocyte antigen-identical sibling." pg. 992

Explanation:

Which food would you recommend Pacific Islanders eat for an excellent source (>20% of DV) of vitamin C

Answers

Answer:

Ananas and mango

Explanation:

I would suggest to eat some ananas and mango beacouse they have >20 of vitamin C

If a pharmacy technician encounters an incorrect drug dosage during a prospective utilization review what should they do

Answers

Answer:

they should examine it ...I think so

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