Discussion V sim 6 Amelia sung complex.docx - Maternity...

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Maternity Case 6: Amelia Sung (Complex) Documentation Assignments 1. Document the fetal status and the progression of Ms. Sung’s labor from the time you took over care of Ms. Sung until the provider takes her to the delivery room. Washed hands, identified patient, and assessed allergies Took vital signs, assessed lungs, assessed IV site Checked deep tendon reflexes as +2 Checked for edema Assessed temperature as 99 F Assessed perineum, checked and changed pads as having 400 mL clear amniotic fluid Vaginal exam revealed crowning Called provider Prepared for delivery with basinet, delivery table, and step stool Instructed patient to start pushing during contractions Administered oxygen via NRB for fetal HR of 114 Baby’s head delivered and then retracted (turtles sign) Placed patient in McRoberts position Notified Charge nurse and NICU Applied suprapubic pressure Baby born and handed to charge nurse for assessment 2. Document the essential events related to the time of birth, including the activities and

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