Mary Smith, DOB 3-7-82, a healthy female gravida 1 para 0 (first pregnancy) (patient has been admitted to the delivery room in active labor. She is at 39 weeks gestation. She has had excelle

Mary Smith, DOB 3-7-82, a healthy female gravida 1 para 0 (first pregnancy) (patient has been admitted to the delivery room in active labor. She is at 39 weeks gestation. She has had excellent prenatal care and no complications. She is currently dilated to 6 cm, but her contractions have lessened in intensity and frequency. There are no signs of fetal distress. Her membranes ruptured 12 hours ago, so there is some urgency to keep her labor progressing in order to avoid a c-section.
Scenario Instructions: You are the physician for Ms. Smith, and you need to communicate with her nurse to report her current status and your treatment and monitoring plan. You plan to start her on an oxytocin (Pitocin) drip to enhance her labor. This will require closer monitoring of the patient and fetus to ensure that labor is progressing well and that there are no fetal or maternal complications. You are particularly concerned about the risk of fetal arrhythmias or uterine hypertonicity. Create a script using ISBAR to convey this information to the nurse.

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