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Swiftriver Maternity with complete answers graded A+_.pdf
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9/3/24, 8:33 PMSwiftriver Maternity
Jeremiah
Terms in this set (35)
Jessica Wu, 35-year-old Asian female, G3 T2 Educational Needs- Increased
P2 A0 L2, 35 weeks gestation. NKDA. Fall Risk- Increased
Previous pregnancies uncomplicated but Health Change- Increased
Cesarean births due to persistent breech Pain Level- Normal
position. Smoker x 15 years but states she Psychological Needs- Increased
"cut back to 3 cigarettes/day during her Psychological Needs- Normal
pregnancies." Reports that she started
smoking during college. States started
having moderate amount of bright red
bleeding about 0800. Came to the hospital
after dropping the older children at school
(5 and 7 years old). She has called her
husband and he is meeting her at the
hospital because he was already at work. It is
now 0945. She is anxious about the
bleeding. States she "never had anything like
this with her other pregnancies!" Denies pain,
contractions, or leaking of amniotic fluid.
1/9
, 9/3/24, 8:33 PM
Kesha Jackson, Patient is a G1P0, gestational Educational Needs- Increased
age of 33.1. She came in complaining of Fall Risk- Increased
contractions for 2 hours that are now every 5 Health Change- Increased
mins. She is unsure about rupture of Pain Level- Increased
membranes, denying vaginal bleeding and Psychological Needs- Increased
recent intercourse. She states the baby is Sensorium- Normal
active. She rates her pain an 8/10. Her
current vital signs are 98.1 F, 36.7 C, 92 BPM,
16 breaths/min, 122/64 mmHg, 99% on room
air. The fetal heart rate is 135 baseline but is
not yet reactive. Cervical exam reveals that
she is not dilated or effaced, and the baby's
head is not engaged in the pelvis. She has
no medical history and NKA. In obtaining her
history, it was learned that she is 15 years old,
currently homeless, and has been staying
with various friends. She does have some
supplies including diapers, wipes, and some
clothing that she received from a friend. She
expresses the desire to take her baby home
with her. She is receptive to teaching and
assistance she just has been unsure of how
to obtain it. She came to the OB triage via a
bus.
Maria Sanchez, 20-year-old female, G1 P1 L1, Educational: Increased
39 weeks gestation. Pregnancy Fall Risk: Increased
uncomplicated. O+, Rubella immune, Group Health changes: Increased
B Strep negative. NKDA. 12-hour 1st stage, 1 Pain Level: Increased
hour 2nd stage, 10 minute 3rd stage. Psychological Needs: Increased
Spontaneous vaginal delivery with 1st degree Sensorium: Normal
perineal laceration one hour ago. Vital signs
stable; fundus firm, midline, at umbilicus;
Lochia rubra moderate, no clots; Up to
bathroom x1- 500 mL, no dysuria, instructed
on peri-care; Legs still a little "tingly" but
able to bear weight with assist X2. Pain level
3/10- ice to perineum with relief. Neonate
male- Juan- 3500 g; Apgar 8 & 9; T 36.8 C,
98.2 F; AP 156 beats/minute, regular; R 52
breaths/minute, irregular. Skin-to-skin with
mother for first hour. Beginning to show
hunger cues. Their plan is do both breast and
bottle feeding; "las dos cosas." Maria's
husband Raul is a quiet presence. Her
mother, grandmother, and older sister were
Maria's support persons in labor. Maria and
Raul are bilingual in English and Spanish.
They were both born in the US- are Mexican
Americans. Her mother speaks and
understands more English than her
grandmother does.
2/9
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