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Case scenario: EFM reveals an FHR pattern that is normal, category I, with an FHR baseline of 140s, moderate variability with accelerations to 160s ´ 20 seconds. She is uncomfortable with contractions and rates her pain a 5. She requests ambulation because she feels more comfortable walking. SVE reveals Margarite to be 4 cm, 40% effaced, and 0 station. At 0120 she has a spontaneous rupture of membrane (SROM) for a large amount of clear amniotic fluid. FHR is baseline 130s with moderate variability with accelerations and contractions every 3 minutes and the nurse feels moderate intensity by palpation. Her sterile vaginal exam (SVE) reveals her cervix is 5 cm/90/0 station. She is very uncomfortable with contractions but does not want pain medication currently. José appears anxious and at a loss for how to help his wife.
Question 1. List at least 3 different nursing interventions that are appropriate to be performed at this time for Margarite and José Sanchez.
Question 2: Explain the clinical significance of each intervention and why it is performed.
Question 3: How will you evaluate if your actions were effective?
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