[Answered]: Case Study: Clinical Rounds in Labor and Delivery…

Case Study: Clinical Rounds in Labor and Delivery Patient: Mariah Jenkins, 28 years old, G1P0 Gestational Age: 39 weeks Chief Complaint: “I’m having strong contractions and feel like pushing.” Admission Findings: Contractions every 2–3 minutes, lasting 70 seconds, moderate to strong intensity Fetal heart rate: 150 bpm with moderate variability Cervix: 8 cm dilated, 90% effaced, +1 station Ruptured membranes: clear fluid noted Pain rating: 9/10, vocalizing through contractions, reports low back pain VS: BP 132/82, HR 92, Temp 99.1°F GBS negative Birth plan requests intermittent monitoring, no epidural, prefers hydrotherapy and movement 💬 Discussion Prompt Mariah is in active labor and progressing quickly. She’s unmedicated and has requested a low-intervention birth. She appears anxious and overwhelmed by her back labor pain. Choose ONE of the following focus areas and respond thoroughly: LPN Scope of Practice and Care Priorities What are your key responsibilities as the LPN during Mariah’s labor? Which tasks are within your role, and when should you notify the RN or provider? How would you prioritize her comfort, safety, and holistic needs? Pain Management and Support Strategies What nonpharmacologic techniques could you initiate to help Mariah manage pain (e.g., hydrotherapy, counterpressure, positioning)? How would you assess her response to these techniques? What cultural or emotional factors might influence her experience? Communication and Interprofessional Collaboration How can you ensure effective communication with the RN and provider during a rapidly progressing labor? What are ways to include Mariah’s partner and respect her birth plan? How might you advocate for her needs as the birth becomes imminent?