lOMoARcPSD|44613495
X i Human Melissa Franks v3.5.pdf
Nursing Practice: Child Bearing/Family Nursing (Arizona State University)
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26 y/o F pregnant 34 weeks gestation +prenatal care - unemployed
Abd pain Lives with BF 3 years + 2 y/o kid
Vag bleeding Regular diet
Recent fall - No routine exercise
No PMHx – appendectomy + 1 hosp 1 day stay with - Immune UTD
baby delivery - negative pap 8 m/o
G2P1 – pregnant twice + 1 living child (spont vag - No PCP
delivery with no complication) - Dr. Rio
+ prenatal vitamins - A/P:
- FMHx: 2 grandparents natural cause, 1 grandma 85 - Stat OB US – determine cause of bleeding or
y/o w/ HTN trauma, IV fluids, FHT with doppler, electronic
- mother: still living at age 59 no PMHx FM, OB/neonate consult
- father
Pre-Brief Q1:
My primary concern for this patient is the risk of fetal death and maternal hemorrhage associated with excessive blood
loss from the heavy vaginal bleeding.
A delay in care could result in fetal injury or death, thus it is important to assess the patient's vital signs, pain using
PQRST, uterine activity, and perform an abdominal assessment (Murray et al., 2019). These are important for obtaining
baseline data to track any changes that may occur or determine the severity of bleeding. It is also important to assess
the fetal heart tones to provide information about any fetal distress or the degree of the condition.
Downloaded by Samuel Wachira ndiang'ui ()
, lOMoARcPSD|44613495
The interventions associated with my concerns include monitoring maternal blood loss by weighing the perineal pads,
administering oxygen to encourage maximal oxygenation of tissues, place the patient in a lateral position with the head
of the bed flat to promote circulation, and reviewing laboratory data to determine the need to administer blood
products if indicated (Murray et al., 2019). Additionally, monitoring for uterine contractions and the fetal heart rate
through an external monitor can determine whether or not labor is present and the fetal status, which the patient may
need to prepare for an emergency cesaran delivery (Murray et al., 2019).
References
Murray, S. S., McKinney, E. S., Holub, K. S., & Jones, R. (2019). Foundations of maternal-newborn and women's health
nursing (7th ed.). Elsevier
Downloaded by Samuel Wachira ndiang'ui ()
, lOMoARcPSD|44613495
Downloaded by Samuel Wachira ndiang'ui ()
X i Human Melissa Franks v3.5.pdf
Nursing Practice: Child Bearing/Family Nursing (Arizona State University)
Scan to open on Studocu
Studocu is not sponsored or endorsed by any college or university
Downloaded by Samuel Wachira ndiang'ui ()
, lOMoARcPSD|44613495
26 y/o F pregnant 34 weeks gestation +prenatal care - unemployed
Abd pain Lives with BF 3 years + 2 y/o kid
Vag bleeding Regular diet
Recent fall - No routine exercise
No PMHx – appendectomy + 1 hosp 1 day stay with - Immune UTD
baby delivery - negative pap 8 m/o
G2P1 – pregnant twice + 1 living child (spont vag - No PCP
delivery with no complication) - Dr. Rio
+ prenatal vitamins - A/P:
- FMHx: 2 grandparents natural cause, 1 grandma 85 - Stat OB US – determine cause of bleeding or
y/o w/ HTN trauma, IV fluids, FHT with doppler, electronic
- mother: still living at age 59 no PMHx FM, OB/neonate consult
- father
Pre-Brief Q1:
My primary concern for this patient is the risk of fetal death and maternal hemorrhage associated with excessive blood
loss from the heavy vaginal bleeding.
A delay in care could result in fetal injury or death, thus it is important to assess the patient's vital signs, pain using
PQRST, uterine activity, and perform an abdominal assessment (Murray et al., 2019). These are important for obtaining
baseline data to track any changes that may occur or determine the severity of bleeding. It is also important to assess
the fetal heart tones to provide information about any fetal distress or the degree of the condition.
Downloaded by Samuel Wachira ndiang'ui ()
, lOMoARcPSD|44613495
The interventions associated with my concerns include monitoring maternal blood loss by weighing the perineal pads,
administering oxygen to encourage maximal oxygenation of tissues, place the patient in a lateral position with the head
of the bed flat to promote circulation, and reviewing laboratory data to determine the need to administer blood
products if indicated (Murray et al., 2019). Additionally, monitoring for uterine contractions and the fetal heart rate
through an external monitor can determine whether or not labor is present and the fetal status, which the patient may
need to prepare for an emergency cesaran delivery (Murray et al., 2019).
References
Murray, S. S., McKinney, E. S., Holub, K. S., & Jones, R. (2019). Foundations of maternal-newborn and women's health
nursing (7th ed.). Elsevier
Downloaded by Samuel Wachira ndiang'ui ()
, lOMoARcPSD|44613495
Downloaded by Samuel Wachira ndiang'ui ()
