Clinical Case Study Late will result in a zero. 100 points APA title page, refer

Clinical Case Study
Late will result in a zero.
100 points
APA title page, reference page and in text citations REQUIRED.
Mrs. R is a 30 y/o G3,P2 who was admitted at 39 weeks, 6 days at 0500. Mrs. R Stated that she has been feeling contractions every 7 to 10 minutes since before dinner last night. She has timed her contractions and they are lasting 25-30 seconds. She also states that she has been experiencing “false labor” and hopes that she is finally feeling the real thing. Mrs. R is not ruptured. Vital signs show that Mrs. R’s pulse, respirations, and temperature are all WNL. Blood pressure is 124/82. The FHR shows in the 130’s. The RN examined Mrs. R and the exam showed that she was 4/80/-1. The RN reported the findings to the doctor and he ordered Demerol 50mg with Phenergan 25 mg IVP as needed for pain.
1. Is this false labor for Mrs. R. Give reasons for your answer (include references).
2. As Mrs. R tried to get into bed, she spontaneously ruptured, (SROM). What is the first thing the RN should do after this happened. Explain why (include references).
3. After SROM occurred, the contractions began coming q 4 minutes, and now lasting 40-55 seconds. When patient was palpated, they showed moderately strong. Why is it important for Mrs. R. to relax during these contractions? What are some things that the RN can do to assist Mrs. R to relax?
4. When do you think that Mrs. R should be given medication ordered by the doctor? What safety measures should be taken at the time the medication is given? What observations should be made after it is given? Explain why (include references). What observations should be reported to the provider?
5. How would you know that Mrs. R has entered the transition phase of labor?
6. A sterile vaginal exam (SVE) is performed and reveals patient is 10cm/100/+2. What should the priority nursing actions be at this time? Explain why (include references).
The doctor comes in and the RN assists with setting Mrs. R up in preparation for delivery. The doctor administered a block and performed a midline episiotomy. At 2004, Mrs. R. gave birth to a female, weighing 7lbs. 5oz. (3316g). The baby is dried and stimulated, the umbilical cord is cut by the father, and the baby is taken to the warmer to be assessed. The Apgar score is 8/9 and the RN continues with the newborn initial care. The RN administers an ointment onto the baby’s eyes. A security tag is placed on the newborn, as well as an ID band. A matching ID number is given to the mother. The baby is placed on mom’s chest. The placenta is expelled at 2007 and is intact with a 3-vessel cord.
7. What is the name of the ointment, and why is it given to all babies at birth? (Include references)
8. Why is it important to place all identification of both the mom and the baby in the delivery room?
9. What hands on care should Mrs. R receive after delivery of the baby and during the first 2 hours following delivery of the placenta (include references)?
10. List two subjects that are appropriate to teach the patient about during this recovery time.