Case Scenario C. Taylor Ms. C. Taylor is a 30-year-old woman G5P4004 who had a prenatal course complicated by polyhydramnios and uncontrolled gestational diabetes mellitus. Medical history includes: asthma, elevated BMI, and previous smoker for 5 years but stopped when she found out she was pregnant. Her cervical ripening/induction began at 37 weeks 3 days. She has had a course of vaginal misoprostol, a Cook’s balloon, had artificial rupture of membranes (clear fluid) before starting the titrated oxytocin infusion 36 hours ago. She is now 37 weeks 6 days, 10 cm dilated, 100% effaced, and is +2 station. She has an epidural and has been pushing for 3.5 hours. 0836: Vitals sign RR 18, HR 110, Temp 99.9F, BP 110/62, Pain 3/10 intermittent pressure. What should the nurse anticipate at delivery? What risk factors put Ms. Taylor at risk for a complicated delivery? What is the nurse’s priority care at this moment?
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[Answered]: Case Scenario C. Taylor Ms. C. Taylor…