A laboring client is having contractions every 3 minutes lasting 50 seconds and is dilated 7 centimeters. The nurse determines the client is in what phase of labor?

Case Study  Abby Nightingale came into the ER with a chief complaint of a headache that “will not ease up”. She describes it as a band around her head with a squeeze like feeling. It seems to last all day per the patient. Stress makes it worse, and Tylenol does reduce the severity. She has been taking Tylenol around the clock. Abby feels that it is just stress or lack of hydration. She reports drinking more water than her normal, about 12 cups a day compared to 8 cups. She rates her pain currently a 6/10, worst 10/10, best 4/10 after medication. She does state feeling more tired and fatigued.  Prenatal records show that last weight recorded at a previous office appointment was 130 pounds from 3 days ago.  Abby Nightingale •    31 years old •    34 weeks gestation •    Gravida 1, para 0•    Weight 137 lbs.•    Home meds     –    Prenatal vitamins Vitals     98.7 degrees F     RR 20      HR 70     Pain 6/10      BP 150/82     PO2 93% room air •    31 years old •    34 weeks gestation •    Gravida 1, para 0•    Weight 137 pounds •    Head     –    Alert and oriented x 3      –    Periorbital edema     –    Headache present     –    Visualizes spots•    Cardiovascular     –    Heart sounds regular      –    No chest pain     –    Pedal pulses +1     –    Post tibial pulses +1     –    Popliteal pulses +2     –    +2 pitting edema bilaterally      –    Skin turgor – 1 second return•    Respiratory     –    Lungs are clear throughout      –    No SOB     –    No cough•    Urinary      –    Denies UTI symptoms     –    Has urinated 1x in 9 hours•    Gastrointestinal     –    Bowel sounds are positive     –    Abdomen- Soft, non-tender      –    Intermittent nausea, no vomiting     –    Last BM yesterday     –    States of a decreased appetite•    Vitals signs     –    HR 80     –    RR 20     –    PO2 96% room air     –    BP 168/86     –    Pain 7/10  Intake- 40 oz (1200 ml)Output- 40 ml  —————————————————————————————- Patient lab results CBC BMP Urine analysis WBC –  9.7                   Glucose – 110 Urine Type – clean catch RBC – 5.00 Sodium – 135 Color – Yellow HGB – 14.0 K – 3.5 Clarity – Clear HCT – 38.0 Chloride 110 Specific Gravity – 1.020 MCV – 80.0 CO2 – 23 Urine pH – 6.5 MCH – 27.5 Anion Gap – 10 Leukocytes – Negative MCHC – 35.0 Calcium 9.0 Nitrites – Negative RDW – 13.0 BUN – 16 Protein – 200 MPV – 10.0 Creatinine – 1.4 Glucose – Normal Platelets 148 GFR – 61.1 Ketones – Negative            Urobilinogen – Negative            Bilirubin – Negative            Blood – Negative            Epithelial cells – None seen            Mucus – None seen            Casts – None seen            RBCs – 0            WBCs – 1            Bacteria – None seen Patient has an ongoing headache. Her swelling has not changed since arriving to the unit. The patient does report increased nausea and epigastric pain. BP 170/110. HR 80. R 20. Fetal movements and fetal heart rate are within normal limits.  The nurse notifies the MD of the UA results, vitals, and patient assessment. The MD orders Hourly rounding along with vital signs IV fluids of LR at 75ml/hour Labetalol 20 mg IV over 2 minutes followed by increasing doses of 20 mg at 10 minute interval until B/P < 140/90 or reaching total of 300mg. When entering the patient's room to initiate IVF, the nurse finds the patient staring at the TV, quiet, and is unresponsive to voice. Abby begins to have facial twitching and muscle rigidity. ---------------------------------------------------------------------------------------- What medication should the nurse anticipate administering for seizure activity?

A client is in the first stage of labor. Which position would facilitate the progress of labor?

A client calls the health care facility stating that she is in labor. The nurse would urge the client to come to the facility if the client reports which of the following?

A client presents to labor & delivery in preterm labor, she is 32 weeks gestation. Betamethasone is included in her admitting orders.  What is the rationale for giving Betamethasone?

What is the process by which the cervix thins and becomes part of the lower uterine segment?

Preparing to perform Leopold’s maneuvers, the nurse understands that which maneuver will help in determining the fetal lie, allowing the fetal back to be easily located for auscultating heart tones.

A client calls the health care facility stating that she is in labor. The nurse would urge the client to come to the facility if the client reports which of the following?

During a prenatal visit a pregnant client asks the nurse how to know the difference between true contractions and Braxton Hicks contractions. Which of the following should the nurse mention as characteristic of true contractions? Select all that apply. 

You are tasked with creating a Library Book Management System for a small local library. The system will manage a collection of books and their availability status (whether the book is available or currently checked out). Requirements: 1- Book Data File (books.txt): The books.txt file will store information about the books. Each line contains the following details, separated by commas: book title, author, and availability (available or checked-out). 2- Program Steps: Step 1: The program should read the contents of the books.txt file into a dictionary where the book titles are the keys, and the values are another dictionary containing author and availability information. Step 2: Define a function list_books(books_dict) that displays the list of all books with their authors and availability. Step 3: Define a function checkout_book(books_dict, title) that allows the user to check out a book by updating its availability status to “checked-out” and saving it back to the file. Step 4: Define a function return_book(books_dict, title) that allows the user to return a book by updating its availability status to “available” and saving it back to the file. Step 5: Handle exceptions: Handle the case where the books.txt file does not exist, and prompt the user to add book data manually. Handle invalid book title inputs (e.g., book not found). Step 6: The program should display the following: The list of all books with their authors and availability. A prompt asking the user if they want to check out a book, return a book, or exit the program. ——– Submission Instructions: For this question, please follow the instructions below to submit your solution properly: Copying and pasting the code into the answer text field is not acceptable. The only acceptable way to submit your solution is by uploading the .py file as a separate attachment. Take screenshots of the sample output of your program running. This should include: The program asking for input (if applicable). The program displaying the output (for example, the first element that meets the condition). Upload these screenshots along with your .py file. If you fail to provide both the uploaded .py file and the screenshots of the program output, you will receive a score of zero for this question.