lOMoARcPSD|3013804
OB Concept Map nurs316l concept map
complete
OB clinical (West Coast University)
, lOMoARcPSD|3013804
Concept Map Erickson’s Developmental Stage Related to pt. & Cite
Student Name: References (1)
Instructor: According to Erikson’s Developmental Stage theory, the Pt
relates to stage 6 – Young Adulthood (19 to 40 years).
Patient Education (In Pt.) & Discharge Planning (home needs) Young adults need to form intimate, loving relationships
Educate Pt about following a low sodium diet. Encourage patient to read with other people. Success leads to strong relationships,
food labels and avoid foods high in sodium (e.g., bacon, luncheon meats, hot while failure results in loneliness and isolation. This stage
dogs, canned soups,etc.) (Nurseslabs, 2021) covers the period of early adulthood when people are
Collaborate with dietitian as indicated. - Nutritional consult may be exploring personal relationships. each step builds on skills Admitting Dx (Cite References) Medical, Surgical, Social History
beneficial in determining individual needs/dietary plan due to prediabetes, learned in previous steps. Erikson believed that a strong and OB History
GDM diagnosis and preeclampsia (Nurseslabs,2021) sense of personal identity was important for developing Preeclampsia, Non-reassuring FHR, deep variable decelerations, C-
Educate patient and family members or significant others on home intimate relationships. Since the Pt is a single mother with Section.
monitoring/day-care program, as appropriate - Some mildly hypertensive 2 children living with her parents indicates that she is not Preeclampsia – New-onset hypertension after 20 weeks gestation
patients without proteinuria may be managed on an outpatient basis if been able to form a intimate, loving relationship which can with two blood pressure readings at least 140 mm Hg systolic and or
adequate surveillance and support is provided and the patient/family actively lead to isolation (Cherry, 2020). at least 90 mm Hg diastolic taken at least 4 hrs apart. Proteinuria
participates in the treatment regimen (Nurseslabs,2021)
Pediatrician and neonatal intensive care nurse are needed in delivery room >300mg in 24hrs or new-onset systemic disease including
for both scheduled and emergency cesarean births - Owing to underlying thrombocytopenia, impaired liver function or RUQ/epigastric pain
Cultural considerations, ethnicity, occupation, religion, (Durham & Chapman, 2019).
maternal condition(s) and alternative birth process, infant may be preterm
family support, insurance. (1) (14) Non-reassuring fetal status (NRFS) – Medical term used to describe
or may experience altered responses, necessitating immediate care or
Pt is a L&D Nurse, works night shift - every other week. suspected fetal distress (Durham & Chapman, 2019).
resuscitation (Nurseslabs,2021)
Hispanic ethnicity. Did not report any religion. Has a BSN,. Deep Variable Decelerations - Irregular, often jagged dips in the fetal
Educate Pt about signs and symptoms of infection such as elevated
Single mother, living with parents and brother, has access to heart rate that look more dramatic than late decelerations. Variable
temperature, redness, warmth to touch and abnormal discharge from incision
food, health care and medications. decelerations happen when the baby’s umbilical cord is temporarily
(Nurseslabs,2021).
compressed (Healthline, 2018).
C-Section – also called surgical birth, is an operative procedure
in which the fetus is delivered through an incision in the
Patient Information Chief Complaint
(1)
abdominal wall and the uterus (Durham & Chapman, 2019).
Contractions, rupture of membrane or
Diagnostic Test/ Lab Results with dates Name: C.M.
bleeding.
and Normal Ranges (3)
Test Norms Date Curren Age:27
Severe headache, Blurry vision, nausea, Medical History
t vomiting, High blood pressure (170/110)
ALT <=54U 06/05/2 18 U/L Height/Weight:5.5 H 165 Prediabetes (before pregnancy), GDM, preeclampsia
/L 0 Prediabetes – A health condition where the blood sugar levels are
AMYLASE <=100 06/06/2 48U/L Admitting Diagnosis higher than normal ,but not enough yet to be diagnosed as diabetes
U/L 0 Allergies: Shrimp ,cats, horses NSVD, or C-Section
AST <=30U 06/05/2 17U/L (hives, eye swelling, itchy throat) (CDC, 2021).
Medical Conditions Gestational Diabetes Mellitus (GDM) – Glucose intolerance that
/L 0
Gestational Age: 38/2
Preeclampsia, Non-reassuring Fetal Status, deep does not present prior to pregnancy (Durham & Chapman, 2019).
BUN <=18m 06/05/2 9mg/dL
g/dL 0 variable decelerations, C-section Preeclampsia – Hypertension accompanied by underlying systemic
RBC 4.20- 06/05/2 5.13mill pathology accompanied by proteinuria after 20th week gestation
5.40mi 0 /mcl (Durham & Chapman, 2019).
ll/mcl Medical Management/ Orders/ Medications & Allergies (2)
WBC’s 4.0- 06/05/2 8.6x100
11.0x1 0 0/mcl
Name Dose RT Freq. MOA RN Surgical History
000/m Onset/Peak/
cl Considerations Cholecystectomy (2015) – Surgical removal of the gallbladder
Duration
CREATINE <=1.10 06/05/2 0.58mg/ (Insulin) (Durham & Chapman, 2019)
mg/dL 0 dL Lantus 10 Unilateral salpingectomy (R) (2018) – Surgical removal of a
Sub Once works by Assess VS and Onset 60-70
GFR <=60m 06/05/2 >120ml/
units Q daily promoting contraindications min Peak – fallopian tube (Durham & Chapman, 2019)
l/min/b 0 min/bsa
sa movement of Inspect skin area none,
LIPASE <=58U 06/05/2 33U/L sugar from blood for injection duration Social History
/L 0 into body tissues areas that are 24hrs
PLATELETS 130- 06/05/2 253X10 and also stops bruised,hickened, (Nurseslabs, Pt is a single mother, does not smoke or take any Illicit drugs and
400X1 0 00/MCl sugar production or scarred, could 2021) drinks 1-2 beers maybe every 2-3 months
000/M in liver (Durham interfere with
Cl
& Chapman, insulin
2019) absorption Obstetric History
Hydrala 5- IV Q 20 directly relaxes 5-10 mg IV over Elimination GTPAL
zine 10mg min the arteriolar 2 min and q 20 half-life: 2–8 G4 T1 P1 A2
smooth muscle min until target hours, 7–16 L2
but not venous BP reached. Do hours ...
smooth muscle not exceed 25mg Onset of
which is in 24hrs action: 5 to
OB Concept Map nurs316l concept map
complete
OB clinical (West Coast University)
, lOMoARcPSD|3013804
Concept Map Erickson’s Developmental Stage Related to pt. & Cite
Student Name: References (1)
Instructor: According to Erikson’s Developmental Stage theory, the Pt
relates to stage 6 – Young Adulthood (19 to 40 years).
Patient Education (In Pt.) & Discharge Planning (home needs) Young adults need to form intimate, loving relationships
Educate Pt about following a low sodium diet. Encourage patient to read with other people. Success leads to strong relationships,
food labels and avoid foods high in sodium (e.g., bacon, luncheon meats, hot while failure results in loneliness and isolation. This stage
dogs, canned soups,etc.) (Nurseslabs, 2021) covers the period of early adulthood when people are
Collaborate with dietitian as indicated. - Nutritional consult may be exploring personal relationships. each step builds on skills Admitting Dx (Cite References) Medical, Surgical, Social History
beneficial in determining individual needs/dietary plan due to prediabetes, learned in previous steps. Erikson believed that a strong and OB History
GDM diagnosis and preeclampsia (Nurseslabs,2021) sense of personal identity was important for developing Preeclampsia, Non-reassuring FHR, deep variable decelerations, C-
Educate patient and family members or significant others on home intimate relationships. Since the Pt is a single mother with Section.
monitoring/day-care program, as appropriate - Some mildly hypertensive 2 children living with her parents indicates that she is not Preeclampsia – New-onset hypertension after 20 weeks gestation
patients without proteinuria may be managed on an outpatient basis if been able to form a intimate, loving relationship which can with two blood pressure readings at least 140 mm Hg systolic and or
adequate surveillance and support is provided and the patient/family actively lead to isolation (Cherry, 2020). at least 90 mm Hg diastolic taken at least 4 hrs apart. Proteinuria
participates in the treatment regimen (Nurseslabs,2021)
Pediatrician and neonatal intensive care nurse are needed in delivery room >300mg in 24hrs or new-onset systemic disease including
for both scheduled and emergency cesarean births - Owing to underlying thrombocytopenia, impaired liver function or RUQ/epigastric pain
Cultural considerations, ethnicity, occupation, religion, (Durham & Chapman, 2019).
maternal condition(s) and alternative birth process, infant may be preterm
family support, insurance. (1) (14) Non-reassuring fetal status (NRFS) – Medical term used to describe
or may experience altered responses, necessitating immediate care or
Pt is a L&D Nurse, works night shift - every other week. suspected fetal distress (Durham & Chapman, 2019).
resuscitation (Nurseslabs,2021)
Hispanic ethnicity. Did not report any religion. Has a BSN,. Deep Variable Decelerations - Irregular, often jagged dips in the fetal
Educate Pt about signs and symptoms of infection such as elevated
Single mother, living with parents and brother, has access to heart rate that look more dramatic than late decelerations. Variable
temperature, redness, warmth to touch and abnormal discharge from incision
food, health care and medications. decelerations happen when the baby’s umbilical cord is temporarily
(Nurseslabs,2021).
compressed (Healthline, 2018).
C-Section – also called surgical birth, is an operative procedure
in which the fetus is delivered through an incision in the
Patient Information Chief Complaint
(1)
abdominal wall and the uterus (Durham & Chapman, 2019).
Contractions, rupture of membrane or
Diagnostic Test/ Lab Results with dates Name: C.M.
bleeding.
and Normal Ranges (3)
Test Norms Date Curren Age:27
Severe headache, Blurry vision, nausea, Medical History
t vomiting, High blood pressure (170/110)
ALT <=54U 06/05/2 18 U/L Height/Weight:5.5 H 165 Prediabetes (before pregnancy), GDM, preeclampsia
/L 0 Prediabetes – A health condition where the blood sugar levels are
AMYLASE <=100 06/06/2 48U/L Admitting Diagnosis higher than normal ,but not enough yet to be diagnosed as diabetes
U/L 0 Allergies: Shrimp ,cats, horses NSVD, or C-Section
AST <=30U 06/05/2 17U/L (hives, eye swelling, itchy throat) (CDC, 2021).
Medical Conditions Gestational Diabetes Mellitus (GDM) – Glucose intolerance that
/L 0
Gestational Age: 38/2
Preeclampsia, Non-reassuring Fetal Status, deep does not present prior to pregnancy (Durham & Chapman, 2019).
BUN <=18m 06/05/2 9mg/dL
g/dL 0 variable decelerations, C-section Preeclampsia – Hypertension accompanied by underlying systemic
RBC 4.20- 06/05/2 5.13mill pathology accompanied by proteinuria after 20th week gestation
5.40mi 0 /mcl (Durham & Chapman, 2019).
ll/mcl Medical Management/ Orders/ Medications & Allergies (2)
WBC’s 4.0- 06/05/2 8.6x100
11.0x1 0 0/mcl
Name Dose RT Freq. MOA RN Surgical History
000/m Onset/Peak/
cl Considerations Cholecystectomy (2015) – Surgical removal of the gallbladder
Duration
CREATINE <=1.10 06/05/2 0.58mg/ (Insulin) (Durham & Chapman, 2019)
mg/dL 0 dL Lantus 10 Unilateral salpingectomy (R) (2018) – Surgical removal of a
Sub Once works by Assess VS and Onset 60-70
GFR <=60m 06/05/2 >120ml/
units Q daily promoting contraindications min Peak – fallopian tube (Durham & Chapman, 2019)
l/min/b 0 min/bsa
sa movement of Inspect skin area none,
LIPASE <=58U 06/05/2 33U/L sugar from blood for injection duration Social History
/L 0 into body tissues areas that are 24hrs
PLATELETS 130- 06/05/2 253X10 and also stops bruised,hickened, (Nurseslabs, Pt is a single mother, does not smoke or take any Illicit drugs and
400X1 0 00/MCl sugar production or scarred, could 2021) drinks 1-2 beers maybe every 2-3 months
000/M in liver (Durham interfere with
Cl
& Chapman, insulin
2019) absorption Obstetric History
Hydrala 5- IV Q 20 directly relaxes 5-10 mg IV over Elimination GTPAL
zine 10mg min the arteriolar 2 min and q 20 half-life: 2–8 G4 T1 P1 A2
smooth muscle min until target hours, 7–16 L2
but not venous BP reached. Do hours ...
smooth muscle not exceed 25mg Onset of
which is in 24hrs action: 5 to
