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NUR 3045 Susan Wong Case Study: (Active labour)

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  • NUR 3045

CASE STUDY: Active Labor: Susan Wong Mrs. Wong, a first-time mother, is admitted to the birthing suite in early labor after spontaneous rupture of membranes at home. She is at 38 weeks of gestation with a history of abnormal alpha-fetoprotein levels at 16 weeks of pregnancy. She was scheduled f...

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  • August 2, 2024
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  • 2024/2025
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  • nur 3045
  • NUR 3045
  • NUR 3045
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NUR 3045 Susan Wong Case Study: (Active labour)

CASE STUDY: Active Labor: Susan Wong



Mrs. Wong, a first-time mother, is admitted to the birthing suite in early labor after

spontaneous rupture of membranes at home. She is at 38 weeks of gestation with a history

of abnormal alpha-fetoprotein levels at 16 weeks of pregnancy.

She was scheduled for ultrasonography to visualize the fetus to rule out an open spinal

defect or Down syndrome, but never followed through. Mrs. Wong and her husband

disagreed about what to do (keep or terminate the pregnancy) if the ultrasonography

indicated a spinal problem, so they felt they did not want this information.



Reflective Questions



1. As the nurse, what priority data would you collect from this couple to help define

relevant interventions to meet their needs?

As a nurse, the data that I would collect from this couple will include a generalized

assessment of the woman's body systems together with vital signs that include: hydration and

nutrition status, urine output, temperature, respiratory rate, heart rate, blood pressure, oxygen

saturation, pulse, and pain level. Some additional measurements will include the height,

weight, head circumference and blood sugar levels. When it comes to the shift assessment I

should collect the airway levels, breathing, circulation, any disability, the vital signs

including pain, fundal height measurement, uterine activity, including contractions,

frequency, duration and intensity. An important assessment to be noted is the fetal status

including heart rate, position and station, then I would ask the couple about their medical


NUR 3045 Susan Wong Case Study: (Active labour)

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