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While
you were pregnant, a relative offered to come help
during labor. You said yes because you didn’t want to hurt her feelings. Now
that you’re in active labor, she’s making you crazy, and you cringe when she
touches you. What should you do? |
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You’re
uncomfortable with the nurse who has been assigned to you. She doesn’t seem
to value your opinion, or respect your choices about your labor. What do you
do? |
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A
two-part question: Ask first question, discuss that for a while, then add the
next set of data and discuss some more. You’re 6 days past your
due date, and ready for baby to arrive. The doctor offers induction. What do
you say? Dr.
checks your cervix: it’s posterior, and hasn’t started to soften or efface. Baby’s
doing fine on tests of fetal well-being. |
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At
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Mom’s
been in labor for about 6 hours. Contractions have been 5 minutes apart and 1
minute long for over an hour now. She says they’re hurting, but she is
relaxed between contractions, and can walk around and talk during
contractions. What do you do? |
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When
active labor began, you went to hospital. When you arrive, contractions get
WAY more intense. Mom demands an epidural, but then when they start to prep
her for it, she suddenly stands up, saying she needs to go to the bathroom.
What might this mean? What do you do? |
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It’s
the middle of the afternoon, dad’s at work, mom’s at home, feeling fine.
Then, suddenly contractions start: they’re very intense and only about 3
minutes apart, and lasting 1 minute long. What do you do? |
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You’re
35 weeks pregnant, and start having contractions that start in your back,
then wrap around to your lower belly. What do you do? |
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Your
labor began with contractions that start in your back, then wrap around to
your lower belly, but had a nice pattern of contraction (ctx),
pause, ctx, pause. Now you
notice that you’re getting back-to-back contractions, where it goes ctx, ctx, pause-pause, ctx, ctx, pause-pause.
What should you do? |
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With
every contraction, you feel pressure on your lower back, and it hurts. What
does this mean? What
can you do to encourage your labor pattern to change? What
comfort measures will help with this back pain? |
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You’ve
had a long early labor. Now you’ve been pushing for two hours, and still no
baby. You’re exhausted and discouraged. Doctor offers cesarean. What do you
say? |
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You’ve
been drinking throughout labor. You threw up once earlier. Nurse recommends
IV to prevent dehydration. What do you say? |