You walk into the birthing center at the beginning of your s

You walk into the birthing center at the beginning of your shift and look at the listing of clients who are in the birthing area. The list looks like this:

Name

GP

Gestation

Dilation

Effacement

Station

Contractions

Brooks Cole

2/1

39 weeks

4 cm

25%

-2

Q10x 40 sec

1/0

40 weeks

10 cm

100%

+1

Q2x 60 sec

Johnson

6/5

41 weeks

4 cm

100%

0

Q5x60

Smith               ; 1/0

27 weeks twins

3 cm

30%

ballotable

Q3x 40 sec

Which expectant woman will probably give birth first? Why?

Which expectant woman do you not want to continue in labor? Why not?

Which of the clients is having her first baby? ,

What phase of labor is each of the women in?

Which of the women are at term?

Name	GP	Gestation	Dilation	Effacement	Station	Contractions
Brooks Cole		2/1	39 weeks	4 cm	25%	-2	Q10x 40 sec
	1/0	40 weeks	10 cm	100%	+1	Q2x 60 sec
Johnson	6/5	41 weeks	4 cm	100%	0	Q5x60
Smith               ; 1/0	27 weeks twins	3 cm	30%	ballotable	Q3x 40 sec

Solution

Ans1.

Brookes Cole will give birth first.

Explanation: This is because a woman will go into labor when station is -1 to +1. -1 station means the baby has come down; and is about to deliver.

Ans 2

Johnson should continue labor. Her station is 0. This means that the baby is about the pelvic bone.

Ans 3

Two clients are having their first baby. You need to see the GP for that. GP 1/0 means gravida is 1 and para is 0.

Gravida means the number of pregnancies a woman has had, irrespective of whether they were viable or not. In this above case, Brooke’s Cole and Smith have had 1 pregnancy in total.

Para or parity signifies number of pregnancies reaching viable gestational age; these will include live and still births. Right now, the para of these two ladies is 0. So, these two ladies are giving birth to their birth baby.

Ans 4

To find out the phase of labor, dilation should be seen. 10cm dilation means first stage of labor; i.e. Brookes Cole (1/0 with 40 weeks gestation) is in first stage.

Smith is in early labor phase. Early labor means dilation up to 3cm.

Active labor phase continues from 3cm to 7cm dilation. Johnson and Brookes Cole (39 weeks gestation) are in active labor phase.

*** Note: Please post one question at a time for more detailed answers….