BIOL 3614 (BIOL3614)

Postpartum Hemorrhage (PPH) History of Present Problem: Brenda Jackson is a 22-year-old African American, G-1, now T-1 P -0 A- 0 L-1 who is Group B strep positive and was treated with four doses of penicillin G. She had a vaginal delivery over an intact perineum after 19 hours of labor at 39 weeks gestation. She has been clinically stable and is about to be transferred to the postpartum unit after a two-hour recovery period. Oxytocin 20 units in 1000 mL of Lactated Ringer’s is infusing a...

CNA - Certified Nursing Assistant Postpartum Hemorrhage (PPH) Brenda Jackson, 22 years old

Postpartum Hemorrhage (PPH) History of Present Problem: Brenda Jackson is a 22-year-old African American, G-1, now T-1 P -0 A- 0 L-1 who is Group B strep positive and was treated with four doses of penicillin G. She had a vaginal delivery over an intact perineum after 19 hours of labor at 39 weeks gestation. She has been clinically stable and is about to be transferred to the postpartum unit after a two-hour recovery period. Oxytocin 20 units in 1000 mL of Lactated Ringer’s is infusing a...

Postpartum Hemorrhage (PPH) History of Present Problem: Brenda Jackson is a 22-year-old African American, G-1, now T-1 P -0 A- 0 L-1 who is Group B strep positive and was treated with four doses of penicillin G. She had a vaginal delivery over an intact perineum after 19 hours of labor at 39 weeks gestation. She has been clinically stable and is about to be transferred to the postpartum unit after a two-hour recovery period. Oxytocin 20 units in 1000 mL of Lactated Ringer’s is infusing a...

★ Cord prolapse: ○ when the umbilical cord is displaced, preceding the presenting part of the fetus, or protruding through the cervix. ○ This results in cord compression and compromised fetal circulation. ○ Expected findings ■ Client may report that she feels “something coming through her vagina � ”� ■ Visualization or palpation of the umbilical cord protruding from the introitus ■ FHR monitoring shows variable or prolonged decels ■ Excessive fetal movement follow...

UNFOLDING Clinical Reasoning Case Study History of Present Problem: Jeremy Brown is a 30-year-old Caucasian male who was brought to the emergency department (ED) by the police after being involved in an altercation at work. Jeremy was at work today, and he threw a large piece of metal at a coworker and began yelling, “Stop following me, I know what you have been up to!” Because Jeremy was very agitated and upset, and the police were called. Since arriving in the ED, he has been agitate...

★ True Labor v. False Labor: true labor will end in a baby!� True Labor False Labor Contractions are at regular intervals Contractions are irregular Intervals between contractions gradually shorten. Usually no change Contractions increase in duration and intensity Usually no change Discomfort begins in back and radiates around to abdomen Discomfort is usually in abdomen Intensity usually increases with walking Walking has no effect on or lessens contractions Cervical dilation and ef...

Postpartum Hemorrhage (PPH) History of Present Problem: Brenda Jackson is a 22-year-old African American, G-1, now T-1 P -0 A- 0 L-1 who is Group B strep positive and was treated with four doses of penicillin G. She had a vaginal delivery over an intact perineum after 19 hours of labor at 39 weeks gestation. She has been clinically stable and is about to be transferred to the postpartum unit after a two-hour recovery period. Oxytocin 20 units in 1000 mL of Lactated Ringer’s is infusing a...

Hct 38. Her last set of vital signs were: ∙ T: 99.4 F/37.4 C ∙ P: 95 ∙ R: 18 ∙ BP: 110/67. She has gotten up to void once and had 50 mL of blood-tinged urine. Her fundus is firm at the umbilicus, and has a small amount of dark red lochia. She is physically exhausted and has been anxious since delivery because her labor and delivery were harder than she ever expected. Personal/Social History: Brenda is an advanced nursing student in her final year. She is single and remains in a...

★ Cord prolapse: ○ when the umbilical cord is displaced, preceding the presenting part of the fetus, or protruding through the cervix. ○ This results in cord compression and compromised fetal circulation. ○ Expected findings ■ Client may report that she feels “something coming through her vagina � ”� ■ Visualization or palpation of the umbilical cord protruding from the introitus ■ FHR monitoring shows variable or prolonged decels ■ Excessive fetal movement follow...