Ectopic Pregnancy
Brandi, Mary Gibbs, Sasha, Summer
Jean Simmons, 22 years old
Primary Concept
Perfusion .
Interrelated Concepts (In order of
emphasis)
1. Reproduction
2. Pain
3. Clinical Judgment
History of Present Problem:
Jean Simmons is a 22-year-old-college student who presents to the emergency department with RLQ abdominal pain and intermittent
vaginal bleeding. Her pain started suddenly two hours ago and has been severe and persistent. She noticed a small amount of bright red
vaginal bleeding in the last hour. Jean has irregular cycles and it has been six weeks since her last menses, which is not unusual for her.
She admits to feeling more fatigued the last couple weeks with intermittent nausea. Jean is 5’ 8” and weighs 74 kg (163 lbs.).
Personal/Social History:
Jean has been sexually active since the age of 16 and has had three male partners in the last six months. She insists that they use condoms
which she provides. She has a history of an ovarian cyst and was treated for pelvic inflammatory disease (PID) six months ago.
What data from the histories is RELEVANT and has clinical significance to the nurse?
, RELEVANT Data from Present Clinical Significance:
Problem:
-Severe and persistent RLQ abdominal -When the embryo outgrows the implantation site, the tube
pain began 2 hr ago ruptures and there is bleeding into the abdominal cavity which
-Intermittent bright red vaginal can cause one-sided lower abdominal pain. (Davidson,
bleeding for the past hr London, & Ladewig, 2020, p390-393)
-has irregular cycles - “Hormones first stimulate the endometrial lining of the
-6 weeks for since her last menses uterus to grow, but fluctuation in levels cannot support the
- fatigued with intermittent nausea endometrium and vaginal bleeding ensues (Davidson et al.,
2020, p390-393).”
RELEVANT Data from Social Clinical Significance:
History:
-sexually active since 16 -sexually active with multiple males in the past 6 months
-3 male partners in past 6 months that increases her chances of getting pregnant even though she
used condoms she provided provided condoms. Condoms are not 100% effective in
-hx of ovarian cysts preventing pregnancy.
- treated for PID 6 months ago -tubal damage caused by PID is a risk factor of ectopic
pregnancy (Davidson et al., 2020, p390-393).
Patient Care Begins:
Current VS: P-Q-R-S-T Pain Assessment (5th VS):
T: 98.4 F (36.9 C) Provoking/Palliative Movement of any kind/Lying still in fetal position
oral :
P: 98 (regular) Quality: Sharp/stabbing
Brandi, Mary Gibbs, Sasha, Summer
Jean Simmons, 22 years old
Primary Concept
Perfusion .
Interrelated Concepts (In order of
emphasis)
1. Reproduction
2. Pain
3. Clinical Judgment
History of Present Problem:
Jean Simmons is a 22-year-old-college student who presents to the emergency department with RLQ abdominal pain and intermittent
vaginal bleeding. Her pain started suddenly two hours ago and has been severe and persistent. She noticed a small amount of bright red
vaginal bleeding in the last hour. Jean has irregular cycles and it has been six weeks since her last menses, which is not unusual for her.
She admits to feeling more fatigued the last couple weeks with intermittent nausea. Jean is 5’ 8” and weighs 74 kg (163 lbs.).
Personal/Social History:
Jean has been sexually active since the age of 16 and has had three male partners in the last six months. She insists that they use condoms
which she provides. She has a history of an ovarian cyst and was treated for pelvic inflammatory disease (PID) six months ago.
What data from the histories is RELEVANT and has clinical significance to the nurse?
, RELEVANT Data from Present Clinical Significance:
Problem:
-Severe and persistent RLQ abdominal -When the embryo outgrows the implantation site, the tube
pain began 2 hr ago ruptures and there is bleeding into the abdominal cavity which
-Intermittent bright red vaginal can cause one-sided lower abdominal pain. (Davidson,
bleeding for the past hr London, & Ladewig, 2020, p390-393)
-has irregular cycles - “Hormones first stimulate the endometrial lining of the
-6 weeks for since her last menses uterus to grow, but fluctuation in levels cannot support the
- fatigued with intermittent nausea endometrium and vaginal bleeding ensues (Davidson et al.,
2020, p390-393).”
RELEVANT Data from Social Clinical Significance:
History:
-sexually active since 16 -sexually active with multiple males in the past 6 months
-3 male partners in past 6 months that increases her chances of getting pregnant even though she
used condoms she provided provided condoms. Condoms are not 100% effective in
-hx of ovarian cysts preventing pregnancy.
- treated for PID 6 months ago -tubal damage caused by PID is a risk factor of ectopic
pregnancy (Davidson et al., 2020, p390-393).
Patient Care Begins:
Current VS: P-Q-R-S-T Pain Assessment (5th VS):
T: 98.4 F (36.9 C) Provoking/Palliative Movement of any kind/Lying still in fetal position
oral :
P: 98 (regular) Quality: Sharp/stabbing
