Question

a 29-year-old g1 p0 woman at 40 weeks gestation presents to labor and delivery because of contractions and ruptured membranes. her prenatal course was uncomplicated. her vital signs are: blood pressure 140/96, pulse 72 beats/minute, afebrile, fundal height 36 cm, and estimated fetal weight of 3300 g. cervix is 6 cm dilated, 100% effaced, 0 station. the fetal heart rate tracing for the last hour has minimal variability and no accelerations. of the following, what is the initial step in the management of this patient?

Answer 1

The initial step in the management of a pregnant patient with contractions and ruptured membranes is to assess the fetal well-being, particularly the fetal heart rate tracing.

Step-by-step explanation:

The initial step in the management of a 29-year-old g1 p0 woman at 40 weeks gestation who presents to labor and delivery with contractions and ruptured membranes is to assess the fetal well-being. In this case, the fetal heart rate tracing has minimal variability and no accelerations. These signs suggest fetal compromise and require further evaluation. Therefore, the initial step in the management of this patient would be to perform a fetal heart rate monitoring and assess the fetal well-being.

Answer 2

make sure the patient is stable before the patients baby. if the patient dies the baby automatically dies. so keep the patient stable in order to help save the baby.