rried 30-year-old gravida 4 para 1203 at 28 weeks gestation. She arrives in the labor and delivery unit at a level 2 hospital complaining of low back pain and frequency of urination. She states that she feels occasional uterine cramping and believes that her membranes have not ruptured. 1. You are the charge nurse and admit P.T. Based on the information you have been given, identify the two most likely diagnoses for P.T.?
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P.T. is a married 30-year-old gravida 4 para 1203 at 28 weeks gestation. She arrives in the labor and delivery unit at a level 2 hospital complaining of low back pain and frequency of urination. She states that she feels occasional uterine cramping and believes that her membranes have not ruptured.
1. You are the charge nurse and admit P.T. Based on the information you have been given, identify the two most likely diagnoses for P.T.?
2. What additional information do you need from P.T. to determine what you will do next?.
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- P.T. is a married 30-year-old gravida 4 para 1203 at 28 weeks gestation. She arrives in the labor and delivery unit at a level 2 hospital complaining of low back pain and frequency of urination. She states that she feels occasional uterine cramping and believes that her membranes have not ruptured. 3. What actions would you take to help identify her underlying problem before calling the health care provider? 4. What other problems might be going on with P.T. that you should consider?You are working as a Labor and Delivery Nurse at a local hospital. Patient A.M., a 26 year old G3 P2 (2002) at 41 weeks of gestation came in having contractions and feeling uncomfortable. Upon internal examination, the cervix was found to be 3 cm dilated. Fundic height was noted to be 40 cm. She was then admitted for monitoring of labor and delivery. She was initially advised to continue mobilizing. Obstetrical history was taken and documented. Her first baby was delivered 4 years ago via normal spontaneous delivery with birthweight of 3,700 grams. The second baby was delivered 2 years ago via forceps delivery with birthweight of 3,900 grams. In this pregnancy, she was diagnosed to have gestational diabetes mellitus at 28 weeks age of gestation. Pelvic ultrasounds were normal and antennal care was unremarkable. The baby was moving actively normal prior to labor. Four hours later, spontaneous rupture of membranes occurred. She was examined again and the cervix…You are working as a Labor and Delivery Nurse at a local hospital. Patient A.M., a 26 year old G3 P2 (2002) at 41 weeks of gestation came in having contractions and feeling uncomfortable. Upon internal examination, the cervix was found to be 3 cm dilated. Fundic height was noted to be 40 cm. She was then admitted for monitoring of labor and delivery. She was initially advised to continue mobilizing. Obstetrical history was taken and documented. Her first baby was delivered 4 years ago via normal spontaneous delivery with birthweight of 3,700 grams. The second baby was delivered 2 years ago via forceps delivery with birthweight of 3,900 grams. In this pregnancy, she was diagnosed to have gestational diabetes mellitus at 28 weeks age of gestation. Pelvic ultrasounds were normal and antennal care was unremarkable. The baby was moving actively normal prior to labor. Four hours later, spontaneous rupture of membranes occurred. She was examined again and the cervix was still at 3 cm. An…
- Answer the following : 1. Identify highlights on 1st 4 weeks, 8 weeks, and 12 weeks. 2. Identify important health teachings for the family in 1st trimester.( include symptoms to watch and common management)Lily accompanied by her husband come for her 6-week postpartal check-up. Lily, who has just become parent of an 7 lbs baby girl via normal spontaneous delivery in the nearby lying-in clinic. She reports that “Everything is good so far .” My husband, Mike is very supportive to me and my new baby. 1. What would you include in an assessment plant to ensure that the client has physically and emotionally adjusted well to childbirth? 2. How would you evaluate the family based on your observation? 3. Encouraged to share and discuss their answers to one another.Recognize risk factors for postpartum hemorrhage. Identify postpartum hemorrhage due to uterine atony. Demonstrate teamwork and communication skills during a simulated postpartum hemorrhage. Mrs. Marla Togan is a 38-year-old G3P2 who was admitted in active labor at 39 + 3 weeks and had a spontaneous vaginal delivery 30 minutes ago. Her delivery was uncomplicated. She had a first-degree laceration that did not require repair. She is approximately 30 minutes postpartum and has just called out because she is feeling dizzy and had more bleeding. Her initial vitals are - BP 130/80, HR 105bpm, R 18bpm, EBL (expected blood loss) 500cc. Her vitals now read - BP 90/66, HR 125bpm, R 22bpm, EBL 1000cc (American College of Obstetrician and Gynecology 2019). Lab Data Hemoglobin: 12.2 Hematocrit: 36.6 WBC: 12,000 Platelets: 218,000
- Statement Nursing.. You have to Discuss Why are vacginal suppositories like Neo-Penotran Forte / L are not allowed for young adults who are not sexually active?A. Application: Answer the following questions based on the data presented in graphs or illustrations. Use the previous knowledge on the reproductive system as your basis. Preeclampsia is a condition that can develop in a woman after 20 weeks of pregnancy. It involves the development of hypertension or high blood pressure, an abnormal amount of 1. Preeclampsia Risk in Pregnancy Risk Factors Risk Ratio First pregnancy Mother over 40 years of age Family history of preeclampsia Chronic hypertension 3:1 protein in urine, and swelling. 3:1 Based on the information, which statement does not agree 5:1 with the data in the table? 10:1 A. A pregnant woman with chronic hypertension is at greater risk of developing preeclampsia than a pregnant woman with chronic kidney failure. В. Chronic kidney disease 20:1 Diabetes mellitus 2:1 Twin birth 4:1 A pregnant woman having her first baby is at greater risk of developing preeclampsia than a pregnant woman with diabetes mellitus failure. C. A pregnant…A nurse explains that the efficiency of the basal body temperature method of contraception depends on fluctuation of the basal body temperature. What factor will alter its effectiveness? 1. Presence of stress 2. Length of abstinence 3. Age of those involved 4. Frequency of intercourse
- SITUATION: Bella Bernardo 24 year old gravida 4 para 2 visits the prenatal clinic for her check-up. Her last LMP was August 21, 2020. Determine the age of gestation AOG] of the client on December 25, 2020. The nurse anticipates the following laboratory exams to be requested, except: a. Serum HBSAg b. Blood glucose level c. Urinalysis d. Complete blood countAn 18-year-old woman presents for care because a condom broke during sexual intercourse. Coitus occurred 1 day ago when she was at midcycle . She does not wish to be pregnant and will terminate the pregnancy if menses does not occur . Regarding her fear of pregnancy , which is the most appropriate next step in her management ? Advise her to await her next menses before taking any action Advise her that unprotected midcycle coitus has a 5 % risk of pregnancy ( B ) prescribe intravaginal misoprostol ( Cytotec Prescribe a brief course of levonorgestrel d. Advise immediate douchingCase Study: o When Mary returns for a postpartal checkup. you notice red streaks on both legs along the course of her veins, and she has pain on dorsiflexion of her foot. You are concerned that she is developing thrombophlebitis. o Describe a plan of care that could have reduced this risk during labor and in the immediate postpartal period