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The labor and delivery nurse reports

Marie Wilson, a 34-year-old client who is gravida 4, para 3, is transferred to the postpartum unit 2 hours after a prolonged 14-hour labor and forceps delivery of a male infant weighing 9 lb, 2 oz. The placenta was intact upon delivery. The labor and delivery nurse reports that Marie was catheterized for 600 ml of yellow urine just before delivery. Her record indicates that she had a repair of a 4th degree laceration. A postpartum assessment reveals that her vital signs are stable: blood pressure 120/80, pulse 84, respirations 20, temperature 98.9° F. Additional assessment indicates that her fundus is firm and located 1 cm above the umbilicus, and the perineal sutures are intact with edges well-approximated. The client…

Placenta Previa

The topic I have chosen for my journal is placenta previa. My patient, 39-year-old M.C came in to the hospital for her fourth cesarean delivery. She has three healthy children that are twenty, ten and two years old. She is not a good candidate for vaginal birth because she has an android or heart shaped pelvis. The birth of her first child resulted in an emergency cesarean delivery and she has opted to have planned cesarean deliveries since then. During this pregnancy M.C had preeclampsia, which is an increase in blood pressure after 20 weeks gestation, which is also commonly accompanied by protenuria. During this pregnancy M.C also had placenta previa, which is a placental implantation in the lower uterine…