Documentation assignment u2013 Brenda Patton.docx -...

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Idongesit Ekwere Documentation assignment – Brenda Patton Document your initial assessment data of Ms. Patton, including uterine activity (frequency and duration), fetal heart rate (FHR) activity (baseline FHR, long-term variability, accelerations, and decelerations), vaginal discharge, and maternal vital signs . Vaginal exam reveals 50% effacement of cervix, cervical dilation 4 cm, and fetus at -2 station Patient status - Heart rate: 90. Pulse: Present. Blood pressure: 117/70 mmHg. Respiration: 20. Conscious state : Appropriate. SpO2: 97%. Temp: 37 C. EFM: Baseline. Fetal heart rate: 145. The fetal heart rate was 145 beats per minute. The fetal heart rate was within normal limits. She is breathing at 19 breaths per minute. The chest is moving equally. You listened to the heart of the patient. There were regular heart sounds without murmurs. There is normal elasticity of the skin. Her color is normal and she is not sweating. bladder status. The bladder contained 110 mL of urine.

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