NUR 3045 Susan Wong Case Study: (Active labour)

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) 2026
history to check if they have any diseases in the family and about their nutritional lifestyle to
determine if they have healthy eating habits. I would further ask for lab data that would
include: blood glucose levels, lipid profile, hba1c levels, and triglyceride levels.
Demographics should also be collected such as the marital status, number of children, years
of education, any previous emotional support, language, occupation, hours of work, and
household members; as well as their history that would include medical history, surgical
history, and medications taken at home, tobacco use, alcohol use, and the family’s medical
history. Depending on these assessments a suitable intervention will be implemented.
2. How can you help this couple if they experience a negative outcome in the birthing
suite? What are your personal views on terminating or continuing a pregnancy with
a risk of a potential anomaly? What factors may influence your views?
If the couple experiences a negative outcome in the birthing suite it is very important that
they receive the proper health they need. According to (Lauren Jansen, 2013), having the
right care team or support is very vital and that nurses have a very big impact on the couple’s
emotions; as well as all individuals who assist with planning and giving birth, including
obstetricians, midwives, nurses, friends, and family members. The couple can also seek
psychological help if they feel hopeless and can take appointments with Obstetricians and
gynecologists that can help with their future pregnancies. When it comes to my personal
view, I believe that the parents of the child are the only ones who can decide if the child
should be aborted or not and whether it is morally justified or not.

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