Swift River- OB with 100% correct
answers ( graded A+)
Aminiah Hussain | Room 301
Patient Overview
Reason for admission:
22-year-old Muslim female, G1 T0 P0 A0 L0, 39 5/7 weeks
gestation. NKDA. Pregnancy uncomplicated. Woke up early
morning feeling wet; wasn't sure if leaking urine or membranes
ruptured. Has continued to stay wet and needed to wear a pad for
the last 4 hours. No contractions or vaginal bleeding. Her
husband, Mohammad, is with her. He is attending his first year of
medical school at the University and both are in the United States
on VISAs. He called the obstetrics office and the certified nurse
midwife told them to come to the hospital for evaluation and
possible induction of labor. Aminiah looks to her husband to
answer questions. He reads English fluently but both Aminiah and
her husband struggle to speak and understand English
conversation. Both appear nervous and have a lot of questions
about an induction. - answer Educational Needs Increased acuity
Fall Risk Increased
Health change
Pain level Normal acuity
Physiological Needs Normal acuity
Sensorium Needs Normal acuity
Carly Madison | Room 302
, Patient Overview
Reason for admission:
30 y/o G1P0 who was admitted 4 hours ago in labor. Her cervical
exam on admit revealed: 4 cm, 70%, fetal vertex at -1, slight
bloody show, leaking membranes. She doesn't remember when
the leaking began. Contractions on admit were q 5 minutes x 45
seconds. Mrs. Madison reported a pain level at 4/10. She and her
husband have been to a Lamaze Prepared Childbirth series and
their Birth Plan includes the desire for a non-medicated labor and
birth. She and her husband have been doing Slow-Chest breathing
and conscious relaxation techniques since admission. She is NPO
other than ice chips; she has no IV at this point. Vital signs - BP
124/70, P 80, R 20, FHR is reassuring with a 136 BPM baseline
with moderate variability no decelerations and +accelerations
(Category 1). She is ambulating in her room with a portable
maternal-fetal monitor applied. She puts her c - answer
Educational Needs - Increased acuity: Status assessment reports
she is a G1 having attended childbirth classes, but first-time
mothers require focused education and reinforcement of concepts
learned.
Fall Risk - Normal acuity
Health change - Normal acuity
Pain level - Increased acuity: Status assessment indicates a pain
level of 4/10, desiring an unmedicated birth.
Physiological Needs - Increased acuity: Status assessment
indicates that the client is in labor.
Sensorium Needs - Normal acuity
Cindy Mason | Room 303
answers ( graded A+)
Aminiah Hussain | Room 301
Patient Overview
Reason for admission:
22-year-old Muslim female, G1 T0 P0 A0 L0, 39 5/7 weeks
gestation. NKDA. Pregnancy uncomplicated. Woke up early
morning feeling wet; wasn't sure if leaking urine or membranes
ruptured. Has continued to stay wet and needed to wear a pad for
the last 4 hours. No contractions or vaginal bleeding. Her
husband, Mohammad, is with her. He is attending his first year of
medical school at the University and both are in the United States
on VISAs. He called the obstetrics office and the certified nurse
midwife told them to come to the hospital for evaluation and
possible induction of labor. Aminiah looks to her husband to
answer questions. He reads English fluently but both Aminiah and
her husband struggle to speak and understand English
conversation. Both appear nervous and have a lot of questions
about an induction. - answer Educational Needs Increased acuity
Fall Risk Increased
Health change
Pain level Normal acuity
Physiological Needs Normal acuity
Sensorium Needs Normal acuity
Carly Madison | Room 302
, Patient Overview
Reason for admission:
30 y/o G1P0 who was admitted 4 hours ago in labor. Her cervical
exam on admit revealed: 4 cm, 70%, fetal vertex at -1, slight
bloody show, leaking membranes. She doesn't remember when
the leaking began. Contractions on admit were q 5 minutes x 45
seconds. Mrs. Madison reported a pain level at 4/10. She and her
husband have been to a Lamaze Prepared Childbirth series and
their Birth Plan includes the desire for a non-medicated labor and
birth. She and her husband have been doing Slow-Chest breathing
and conscious relaxation techniques since admission. She is NPO
other than ice chips; she has no IV at this point. Vital signs - BP
124/70, P 80, R 20, FHR is reassuring with a 136 BPM baseline
with moderate variability no decelerations and +accelerations
(Category 1). She is ambulating in her room with a portable
maternal-fetal monitor applied. She puts her c - answer
Educational Needs - Increased acuity: Status assessment reports
she is a G1 having attended childbirth classes, but first-time
mothers require focused education and reinforcement of concepts
learned.
Fall Risk - Normal acuity
Health change - Normal acuity
Pain level - Increased acuity: Status assessment indicates a pain
level of 4/10, desiring an unmedicated birth.
Physiological Needs - Increased acuity: Status assessment
indicates that the client is in labor.
Sensorium Needs - Normal acuity
Cindy Mason | Room 303
