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Concept Map
Student Name: Judith Meranvil Erickson’s Developmental Stage Related to pt. & Cite
Instructor: Professor Puente References (1)
Patient Education (In Pt.) & Discharge Planning (home needs) Intimacy vs Isolation. This patient falls under this category
in Erickson’s Developmental Stages. This stage is for early
One should report chills or fever greater than 100.4 F after 24 hours. Any adulthood, between the ages of 20-39. This stage believes
change in vaginal discharge, including increased amount, large clots, or a that people are sometimes isolated due to intimacy. Once
identities are established, one can be ready to make long Admitting Dx (Cite References) Medical, Surgical, Social
foul order. You will experience bleeding for several weeks; the first few days History and OB History
will be bright red, and it will gradually get lighter before turning clear then term commitments to others. The goal is to be capable of
stopping. If one is experiencing incisional pain that does not resolve with forming intimate, reciprocal relationships (Mcleod, 2018).
analgesics, one should contact a provider. Also, if the incision is showing J.M is a 30-year-old Caucasian woman who was admitted to
any redness, edema or has a foul smell. Afterpains are extremely common Baptist Hospital on May 1, 2021 at 1100 for a scheduled C-
and feel like menstrual cramps for a few days after delivery, especially if the section due to high-risk pregnancy. Patient is 36 weeks pregnant
mother is breastfeeding. Any breast pain accompanied by firmness, warmth, according to her last menstrual period (LMP) which was August
tenderness, swelling, nipples with soreness/cracks should ne reported. Take 22, 2020. Patient has not tested positive for any STDs or
note of any problems urinating, such as pain, frequency, or urgency. If the infections. Patient is otherwise healthy other than her known
mother has any feelings of possible depression, including feelings of hate Cultural considerations, ethnicity, occupation, religion, preeclampsia.
towards the baby, cannot provide self or infant care, or has feelings that they family support, insurance. (1) (14)
might hurt themselves or the infant. Medical History
Caucasian women with a college education. She has 1 other Her first pregnancy, a boy, was also preterm at 37 weeks and 4
child that is 3 years old. She is married to a supporting days. She was also diagnosed with preeclampsia then. She does
husband. Religion is unknown. She is a high school principal. not have any other conditions.
Patient Information Chief Complaint
(1) Patient came in with chief complaint of Surgical History
Diagnostic Test/ Lab Results with dates Name: Previous c-section for her first son January 2018. No other
contractions and high blood pressure.
and Normal Ranges (3) surgeries. No complications.
Age: 30
Admitting Diagnosis
Height/Weight: 5’7/153 lb Due to a high risk pregnancy, the patient
Test Norms Date Current has been scheduled and admitted for a c-
Value Allergies: none section. Social History
WBC (5k- 5/1/21 15k Patient is social. She is very involved in her school and its
15k) Gestational Age: 36 weeks students/activities. She occasionally drinks wine, while non-
Platelets (150- 5/1/21 260 pregnant. She does not smoke or drink otherwise.
350)
Hbg (11.5- 5/1/21 12.2
14)
Obstetric History
Medical Management/ Orders/ Medications & Allergies (2) GTPAL
Name Dose RT Freq. MOA RN Considerations G: 2 T: 1 P: 1 A:0 L:1
Magnesium 4-6g Intermittent Over 15- Triggers Monitor infusion site
Sulfate IV bolus 30 min cerebral Check client for adverse
vasodilation, effects
reducing Check for headache,
ischemia. dizziness, blurred vision,
muscle weakness
Monitor DTRs
Monitor magnesium
levels.
Terbutaline 0.25 IV Do not Dilates air Monitor respiratory
mg exceed passages in status, including oxygen
0.5mg the lungs. saturation.
Monitor fetal and
maternal heart rate and
blood pressure.
Initiate fluid and
electrolyte replacement.
No known allergies.
‘
Concept Map
Student Name: Judith Meranvil Erickson’s Developmental Stage Related to pt. & Cite
Instructor: Professor Puente References (1)
Patient Education (In Pt.) & Discharge Planning (home needs) Intimacy vs Isolation. This patient falls under this category
in Erickson’s Developmental Stages. This stage is for early
One should report chills or fever greater than 100.4 F after 24 hours. Any adulthood, between the ages of 20-39. This stage believes
change in vaginal discharge, including increased amount, large clots, or a that people are sometimes isolated due to intimacy. Once
identities are established, one can be ready to make long Admitting Dx (Cite References) Medical, Surgical, Social
foul order. You will experience bleeding for several weeks; the first few days History and OB History
will be bright red, and it will gradually get lighter before turning clear then term commitments to others. The goal is to be capable of
stopping. If one is experiencing incisional pain that does not resolve with forming intimate, reciprocal relationships (Mcleod, 2018).
analgesics, one should contact a provider. Also, if the incision is showing J.M is a 30-year-old Caucasian woman who was admitted to
any redness, edema or has a foul smell. Afterpains are extremely common Baptist Hospital on May 1, 2021 at 1100 for a scheduled C-
and feel like menstrual cramps for a few days after delivery, especially if the section due to high-risk pregnancy. Patient is 36 weeks pregnant
mother is breastfeeding. Any breast pain accompanied by firmness, warmth, according to her last menstrual period (LMP) which was August
tenderness, swelling, nipples with soreness/cracks should ne reported. Take 22, 2020. Patient has not tested positive for any STDs or
note of any problems urinating, such as pain, frequency, or urgency. If the infections. Patient is otherwise healthy other than her known
mother has any feelings of possible depression, including feelings of hate Cultural considerations, ethnicity, occupation, religion, preeclampsia.
towards the baby, cannot provide self or infant care, or has feelings that they family support, insurance. (1) (14)
might hurt themselves or the infant. Medical History
Caucasian women with a college education. She has 1 other Her first pregnancy, a boy, was also preterm at 37 weeks and 4
child that is 3 years old. She is married to a supporting days. She was also diagnosed with preeclampsia then. She does
husband. Religion is unknown. She is a high school principal. not have any other conditions.
Patient Information Chief Complaint
(1) Patient came in with chief complaint of Surgical History
Diagnostic Test/ Lab Results with dates Name: Previous c-section for her first son January 2018. No other
contractions and high blood pressure.
and Normal Ranges (3) surgeries. No complications.
Age: 30
Admitting Diagnosis
Height/Weight: 5’7/153 lb Due to a high risk pregnancy, the patient
Test Norms Date Current has been scheduled and admitted for a c-
Value Allergies: none section. Social History
WBC (5k- 5/1/21 15k Patient is social. She is very involved in her school and its
15k) Gestational Age: 36 weeks students/activities. She occasionally drinks wine, while non-
Platelets (150- 5/1/21 260 pregnant. She does not smoke or drink otherwise.
350)
Hbg (11.5- 5/1/21 12.2
14)
Obstetric History
Medical Management/ Orders/ Medications & Allergies (2) GTPAL
Name Dose RT Freq. MOA RN Considerations G: 2 T: 1 P: 1 A:0 L:1
Magnesium 4-6g Intermittent Over 15- Triggers Monitor infusion site
Sulfate IV bolus 30 min cerebral Check client for adverse
vasodilation, effects
reducing Check for headache,
ischemia. dizziness, blurred vision,
muscle weakness
Monitor DTRs
Monitor magnesium
levels.
Terbutaline 0.25 IV Do not Dilates air Monitor respiratory
mg exceed passages in status, including oxygen
0.5mg the lungs. saturation.
Monitor fetal and
maternal heart rate and
blood pressure.
Initiate fluid and
electrolyte replacement.
No known allergies.
‘
