Make a Pediatric History (DEVELOPMENTAL MILESTONE) FINAL DIAGNOSIS: Live born preterm 35 weeks balad score high risk delivered via emergency low segment cs section frank breech presentation 1 loose nuchal cord coil apgar score of 9/9 first weight of 2,320 grams appropriate for gestational age NOTE: Hypothetical statements are highly appreciated, since it is allowed. Thank you!
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- Maternal and Newborn Health Unit Liverpool School of Tropical Mediine LSTM/RCOG Lie Saving Skilh -Eential (Emergency) Obstetic Care and Niewborn Care LSTM Symbols Usual frequency of examina tion Cervix Vaginal examination 4 hourly Head X - X hourly Fetal Heart Rate Breech Fetal heart rate Contractions: Palpate abdomen (uterine fundus)over 10 min. «20 seconds Mild Amniotic fluid Maderate 20-40 seconds Membranes intact Strong >40 seconds Membranes ruptures, clear fluid Descent: Abdominalpalpation Meconium stained fluid M 45 35 2 Biood stained fluid Abdomer Moulding Sutures apposed Helve covty Sutures overlapped but reducible 2+ Conpety Sp Sincipa Encixt Groput re M Ng y Sutures overlapped but not reducible Ocuut Ou Ox O jae ra 1. WHO Managing compications in pregnancy and chidbirm 1 Matemal and Newban Health Unit iverpool School of Tropical Medicine LSTM/RCOG Life Saving Skils-Easential (Emergency) Obstetric Care and Newborn Cam LSTM Name: Mrs DG Partograph Case 3 Hospital No.: 462432 XY…One of the problems that Nurse Rain was able to identify is pre-eclampsia of Mrs., Cantos, 36 years old mother of 5 children. She is at 22 weeks A0G, with BP of 140/90. There is pedal edema and weighs 120 lbs. One of the family nursing problems that was identified was the inability to recognize the presence of possible complication in pregnancy due to lack of knowledge. One of the interventions was geared towards broadening the knowledge of the family on possible complications of pregnancy. What will be the more specific actions of the nurse for this? Choose all that apply. Discuss the implications of the signs and symptoms presented by Mrs. Cantos. Discuss with the family the causes of pre-eclampsia and risk factors of pre-eclampsia. Explore with the family the available courses of action open to them. Discuss the consequences of a possible consequence of pre-eclampsiaDiscuss breast self-exam for female patient andone usual abnormal finding
- Mrs. Vanessa Narciso, a 30 year old G1P0, was admitted due to labor pains. IE: Cervix 2 cm dilated, 50% effaced, cephalic, station -1, intact bag of waters. Clinical Pelvimetry: Diagonal conjugate=13.5 cm, Bispinous diameter = approximately 10 cm, Bituberous diameter <10cm. Mrs, Vanessa asks the nurse what station - 1 means, Which of the following statement of the nurse is correct? a. The head of the baby of near the outlet b. The buttock of the baby is at the level of the ischial spines c. The presentation part of the fetus is 1 cm below the spines d. The presentation part of the fetus is 1 above the ischial spinesNurse Zasha in the Obstetrical Unit is monitoring Mrs. Zexy Lucero, 25 years old. G1P0. Internal examination revealed 5cm cervical dilatation, 50% effaced, +(BOW). Station 0, cephalic with a prolongation disorder for signs of fetal or maternal compromise. Which of the following assessment findings should not alert Nurse Zasha to a compromise? (Select all that apply) Coordinated uterine contractions Persistent nonreassuring fetal heart rate Maternal fatigue Uncoordinated uterine contractions Progressive changes in the cervixMrs. Vanessa Narciso , 22 year old Gravida 1 Para 1 delivered spontaneously to a live Isaby girl weighing 3,600 grams. Immediate postpartal care is done by Nurse Marina who is assigned to her. After the delivery has been completed, the following Interventions are done, except which of the following? Monitor her VS (every 10-15 mins) Lower her legs from the stirrups one after the another Cover her with blanket to avoid chilling Linen under her buttocks are replaced with a sterile perineal pad.
- Mrs. Zexy Lucero, 25 years old, G1PO, 39 4/7 weeks age of gestation is in labor. Internal examination revealed: cervix 5-6 cms dilated, 50% effaced, cephalic, Station 0, (+) BOW. External fetal monitoring revealed a variable decelerations. Nurse Zasha is preparing for cesarean birth. Which of the following activities should not be implemented without clarification by Nurse Zasha? (Select all that apply) Slow the intravenous flow rate. Continue the oxytocin drip if infusing. Place the client in a high Fowler's position Administer oxygen, 8 to 10 L/ minute, via face maskCASE SCENARIO -DELIVERY ROOM Patient Susan is a 47 years old, G2P1 female who is living with her family at Silay City. She is a high school graduate, non-smoker, non-alcoholic and no allergies reported. Patient Susan was admitted to the labor room with the chief complaints of bright red profuse vaginal bleeding. She is in her third trimester of pregnancy, vaginal examination done by Dr .Torres revealed 5cm cervical dilatation with no labor pain .Dr. Torres ordered as follows; to start IVF of D5LR 1liter x 30gtts./min., O2inhalation @ 2 l/min via nasal cannula, Vital signs and FHB monitoring q 30mins. Put on bedrest. Patient Susan's vital signs upon admission: BP-90/60 mm/Hg Temperature-37 degree Celsius PR-90 bpm RR-30 cpm FHB-130 bpm@ left lower quadrant. As a student nurse, based on the case scenario above: 1.What will be your impression about the condition of your patient? 2.What are the clinical…CASE SCENARIO -DELIVERY ROOM Patient Susan is a 47 years old, G2P1 female who is living with her family at Silay City. She is a high school graduate, non-smoker, non-alcoholic and no allergies reported. Patient Susan was admitted to the labor room with the chief complaints of bright red profuse vaginal bleeding. She is in her third trimester of pregnancy, vaginal examination done by Dr .Torres revealed 5cm cervical dilatation with no labor pain .Dr. Torres ordered as follows; to start IVF of D5LR 1liter x 30gtts./min., O2inhalation @ 2 l/min via nasal cannula, Vital signs and FHB monitoring q 30mins. Put on bedrest. Patient Susan's vital signs upon admission: BP-90/60 mm/Hg Temperature-37 degree Celsius PR-90 bpm RR-30 cpm FHB-130 bpm@ left lower quadrant. As a student nurse, based on the case scenario above: 1.What are the clinical manifestations present in your patient?
- CASE SCENARIO -DELIVERY ROOM Patient Susan is a 47 years old, G2P1 female who is living with her family at Silay City. She is a high school graduate, non-smoker, non-alcoholic and no allergies reported. Patient Susan was admitted to the labor room with the chief complaints of bright red profuse vaginal bleeding. She is in her third trimester of pregnancy, vaginal examination done by Dr .Torres revealed 5cm cervical dilatation with no labor pain .Dr. Torres ordered as follows; to start IVF of D5LR 1liter x 30gtts./min., O2inhalation @ 2 l/min via nasal cannula, Vital signs and FHB monitoring q 30mins. Put on bedrest. Patient Susan's vital signs upon admission: BP-90/60 mm/Hg Temperature-37 degree Celsius PR-90 bpm RR-30 cpm FHB-130 bpm@ left lower quadrant. As a student nurse, based on the case scenario above: 1. Formulate 1 possible nursing diagnosis in the case scenario given( 1Actual/1Risk)CASE SCENARIO -DELIVERY ROOM Patient Susan is a 47 years old, G2P1 female who is living with her family at Silay City. She is a high school graduate, non-smoker, non-alcoholic and no allergies reported. Patient Susan was admitted to the labor room with the chief complaints of bright red profuse vaginal bleeding. She is in her third trimester of pregnancy, vaginal examination done by Dr .Torres revealed 5cm cervical dilatation with no labor pain .Dr. Torres ordered as follows; to start IVF of D5LR 1liter x 30gtts./min., O2inhalation @ 2 l/min via nasal cannula, Vital signs and FHB monitoring q 30mins. Put on bedrest. Patient Susan's vital signs upon admission: BP-90/60 mm/Hg Temperature-37 degree Celsius PR-90 bpm RR-30 cpm FHB-130 bpm@ left lower quadrant. As a student nurse, based on the case scenario above: 1.What will be your impression about the condition of your patient?Nurse Zasha is reviewing the Obstetrician-Gynecologists orders for Mrs. Zexy Lucero. 25 years old, G1P0, 37 weeks AOG admitted for watery vaginal discharge before the onset of regular uterine contractions. Internal examination revealed: cervix 3-4 cms dilated, 50% effaced, cephalic, station -1, with pooling of fluid in the vaginal canal on speculum examination. Which of the following activities are expected to be written in the doctor's orders and to be performed by Nurse Zasha? (Select all that apply) Administer an antibiotic per order and hospital protocol Monitor maternal vital signs frequently Monitor fetal heart rate continuously Perform vaginal examination every shift Perform cesarean section immediately