OB Case Study Week 1<\/p>\n
NURS 4434 Care of Childbearing Family
\nAntepartum Care Situation<\/p>\n
Learning Objectives: After careful reading of narrative and supporting data student will construct an Antepartum Care Worksheet
\n1.\tInterpret provided blood test results; Pre-shift report, Reason for hospitalization; Discussion of medical diagnosis; discussion of obstetric and pregnancy history; Fetal monitoring; and Maternal vital signs.
\n2.\tDiscuss family configuration; cultural\/spiritual assessment, and financial\/emotional health.
\n3.\tPrioritize Problem List\/Nursing Diagnosis, R\/T and AEB — three for mom and three for baby.
\n4.\tReview and record medications including drug name, dose, side effects (look-up) on Scheduled Medication Worksheet.
\n5.\tCompose detailed Care Plan for mother including: Highest Priority Nursing DX; Plan; Intervention; Rationale; Assessment; Skills Used; Legal Ethical Issues; and Safety Concerns
\n6.\tCompose detailed Care Plan for infant including: Highest Priority Nursing DX; Plan; Intervention; Rationale; Assessment; Skills Used; Legal Ethical Issues; and Safety Concerns
\n7.\tPresent Nursing Skills; Your Strengths; What Opportunities for improvement there may have presented to you in this situation.<\/p>\n
CASE STUDY<\/p>\n
After meeting with course instructor at 0630 on 3\/16\/20 you proceed to meet the charge nurse who then assigns you Tarka RN. Nurse Tarka takes you to room 564 to meet client Maria Garcia.
\nMary Garcia is 34-year-old married woman with one child (a son) that is thee years old. This was a vaginal delivery. She is pregnant with second baby and thinks she is 34 weeks pregnant. She weighs 220 pounds. Patient has scant prenatal care. Her husband brought her in last night because she was dizzy with blurred vision. She states that she \u201chas no pain at this time.\u201d Her temperature 98.8, blood pressure was 150\/81, her respirations 34. The patient\u2019s last postprandial glucose test was 193 mg\/dl. Patient\u2019s fasting glucose was 149 mg\/dl. Her blood pressure was 143\/85, respiration 28, and temperature 98.8
\nShe is concerned that \u201cshe has to go home to take care of her three-year-old son because her husband has to go to work\u201d and her mother (who lives with her) is out of town.
\nFetal heart monitoring was reassuring, but ultrasound indicated that the baby may be large for gestational age.
\nPatient states that \u201cher baby seems to be moving less\u201d and she is afraid that her baby may come early.<\/p>\n
Test results
\nBlood type\tA+\tRubella\tImmune
\nRh factor\tPositive\tHIV\tnegative
\nAntibody screen\tnegative\tRPR\/VDRL\tNegative
\nHgb\t12.7\tHbSAg\tNegative
\nHct\t35.5\tGonorrhea\tnegative
\nWBCs\t6.5\tChlamydia\tNegative
\nPlatelets\t204\tGBS\tnegative<\/p>\n
New doctor\u2019s order: Pt. put on a calorie restrictive diet and pre and postprandial blood sugar test. Pt. to monitor her blood pressure. Pt. is instructed to monitor fetal movement. Mary has orders to see her obstetrician next week.
\nComplete assessment of mother and baby (cite sources).
\nCare plan for mother and baby.
\nPrioritize Nursing diagnosis (including R\/T and AEB) 3 for both mother and baby.
\nCite where you got this information.<\/p>\n","protected":false},"excerpt":{"rendered":"
OB Case Study Week 1 NURS 4434 Care of Childbearing Family Antepartum Care Situation Learning Objectives: After careful reading of narrative and supporting data student\u2026<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10601,10596,10882,479,537,172,478,10597,10599,10595],"tags":[10524,10522,10890,10561,10883,10889,10515,10521,10696,10518,10888,10887,10886,10885,10884,10525],"class_list":["post-124512","post","type-post","status-publish","format-standard","hentry","category-assignment-help-by-uks-no-1-writing-service","category-assignment-writers-canada-university-cost","category-free-ai-english-assignment-writers-china","category-nursing-course-hero","category-nursing-essay-pro","category-nursing-study-bay","category-nursing-study-pool","category-professional-assignment-writers-usa","category-uae-1-cheap-assignment-writing-service","category-write-a-word-essay","tag-apa-citation-format-assignment","tag-assignment-writers-australia-college-student","tag-best-nursing-case-study-writing-services","tag-buy-essay-usa","tag-case-study-nursing-writing-services-for-care-plans","tag-free-nursing-case-study-writing-services","tag-help-write-a-page-assignment","tag-i-need-someone-to-do-my-assignment-within-hours","tag-need-assistance-completing-the-assignment","tag-need-to-write-an-essay","tag-nursing-case-studies-with-answers","tag-nursing-case-study-paper-example","tag-nursing-case-study-template-examples-of-case-studies-nursing","tag-pharmacology-case-study","tag-soap-note-case-study","tag-write-pages"],"_links":{"self":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/124512","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/comments?post=124512"}],"version-history":[{"count":0,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/124512\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/media?parent=124512"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/categories?post=124512"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/tags?post=124512"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}