Admission: (MFA) Active Labor

Description

OB Case Study for Nurs 220 Spring 2018
Grace Yoon
Mind Map by Grace Yoon, updated more than 1 year ago
Grace Yoon
Created by Grace Yoon over 6 years ago
7
0

Resource summary

Admission: (MFA) Active Labor
  1. Arrived 3cm/70%/-2. She did not have a rupture of membranes but she does have UTI during pregnancy. Pt. is G1P0 at 39.6 wk and is 20 years old. There is no history of a birth plan.
    1. Delivery: NSVD 2nd degree laceration. 620 mL blood loss. AGA newborn boy
      1. Blood loss >500 mL --> Risk for infection, risk for fluid volume deficit Mother was anemic going into labor so the blood loss would have a negative impact on her circulatory system (tachycardia, hypotension, fever, dehydration) Patient was given IV fluids to replace lost fluids, VS q4 hours.
        1. UTI in pregnancy --> Risk for infection, impaired urinary elimination, increased temperature. Mother's body is going through the infection process so her temperature would be elevated. Her UTI would cause problems in urinary elimination due to painful urination and urinary retention. It would be even more difficult to urinate and stay hydrated due to NPO status during labor for emergency c-section possibility. Patient was given water after labor and IV fluids. She was encourage to walk and use the restroom frequently.
        2. LABS: Hematocrit 29.2; Hemoglobin 9.6; WBC 12.9; Platelets 294; RBC 3.72; Blood Glucose 105
          1. Medications: Iron, antibiotics, Oxytocin
          2. Newborn
            1. Infant risk for meconium aspiration r/t meconium in amniotic fluid during AROM.
              1. Respiratory Distress, Hypoxia, Cold Stress, Polycythemia,
                1. Temp: 98.4, APGAR: 8/9
                2. Baby was immediately given a bath and suctioned.
                3. Baby is breast fed
                  1. Vaccinations: Vitamin K, Hep. B, Erythromycin
                  Show full summary Hide full summary

                  Similar

                  Nervous System
                  4everlakena
                  Diabetes Mellitus
                  Kirsty Jayne Buckley
                  Renal System A&P
                  Kirsty Jayne Buckley
                  Oxygenation
                  Jessdwill
                  Clostridium Difficile
                  Kirsty Jayne Buckley
                  Definitions
                  katherinethelma
                  Clinical Governance
                  Kirsty Jayne Buckley
                  CMS Interpretive Guidelines for Complaint/Grievances
                  Lydia Elliott, Ed.D
                  NCLEX RN SAMPLE TEST
                  MrPRCA
                  NURS 310 EXAM 1 PRACTIC EXAM
                  harlacherha
                  Skin Integrity and Wound Care
                  cpeters