Kelsey Crooks
OB Project Week 1
CLTCC-Alexandria
Index
Hyperemesis Gravidarum…..3
Incomplete Abortion…..6
Incompetent Cervix…..9
Ectopic Pregnancy…..11
Hydatidiform Mole…..13
Rh Incompatibility…..16
Iron Deficiency Anemia…..18
Neonatal Sepsis…..20 Hyperemesis Gravidarum
Define
Extreme, persistent nausea and vomiting during pregnancy (Hyperemesis Gravidarum: Medline Plus)
Cause. Risk Factors.
According to Medline Plus:
The cause of nausea and vomiting during pregnancy is believed to be a rapidly rising blood level of a hormone human chorionic gonadotropin.
Symptoms
According to Medline Plus:
Severe, persistent nausea during pregnancy
Salivating a lot more than normal
Weight loss
Dehydration
Light-headedness, weakness, headaches, or fainting
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Assess for any signs of bleeding 3. Perform sterile technique if vaginal exam is needed 4. Educate mother on signs of infection 5. Advise mother to report severe abdominal pain and vaginal bleeding 6. Monitor intake and output 7. Educate mother on proper handwashing technique 8. Encourage fluid intake 9. Provide emotional support to family 10. Ensure basic human needs are met for mother
NANDA
1. Knowledge deficit r/t uneducated about condition
2. Risk for infection r/t bleeding
3. Ineffective coping r/t miscarriage
4. Activity intolerance r/t bed rest
5. Feelings of powerlessness r/t mother not being able to help unborn child
Hydatidiform Mole
Definition
According to Medline Plus:
A rare mass or growth that forms inside the uterus at beginning of
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Educate parents on proper hand-washing techniques 3. Educate mother on importance of Rhogam injections 4. Advise mother to get shot on time 5. Monitor infant for any signs of jaundice 6. Monitor for any signs of distress from mother 7. Provide emotional support for family 8. Educate mother on relaxation breathing techniques 9. Monitor daily weight 10. Encourage a healthy diet for mother
Iron Deficiency Anemia
Definition
According to Medline Plus:
A condition in which the body does not have enough healthy blood cells. RBCs provide oxygen to body tissues. It occurs when the body doesn’t have enough iron.
Cause. Risk factors
According to Medline Plus:
Losing more RBCs and iron than your body can regenerate. Body does not do a good job absorbing iron, not consuming enough foods with iron.
Symptoms and
Fatigue: The growth and development of red blood cells in the bone marrow may be suppressed while having increase in the number of malignant plasma cells, which then cause low levels of red blood cells in the blood. This condition, know as anemia, can result in unusual fatigue or weakness.
The case study I selected was about Melissa and her difficulty gaining weight. She has been diagnosed with hyperemesis gravidarum. Hypermesis gravidarum is when a pregnant woman experiences serious nausea and vomiting throughout a majority of their pregnancy. It occurs in a very small percentage of women. Melissa is currently in week 22 of her pregnancy. She weighed 135 pounds before pregnancy and her height is 5ft. 6inches. She is looking for advice and options to help with her symptoms.
Anemia is a disorder of the blood. It occurs when your body does not produce enough erythrocytes or red blood cells (RBCs). Without the erythrocytes oxygen can not be adequately delivered to the tissues and organs throughout the body. This will cause you to become weak and tired. A person may also experience headaches, skin pallor, and faintness. Your body may attempt to compensate for these symptoms by speeding up the heart rate and respiratory rate. This is the body’s attempt to return oxygen levels to normal(Thibodeau and Patton, 2005).
As the concentration of hemoglobin in the Red Blood Cells falls below normal, the total Red Blood Cell count consequently decreases. Therefore, oxygen cannot be adequately carried. (http://www.mayohealth.org/mayo/pted/htm/iron.htm).
After I got the assignment, I met my nurse, introduced myself and took the report of the patient. I went in my patient room and introduced myself. I took patient vitals and documented it. With Professor Zentis I did physical assessment. Her fundus was firm and midline 2 fingers below the umbilicus. The patient had scent lochia rubra. Mrs. M has 6year old daughter and concerned that she is not sure the right positions to feed baby. She also had incision pain
To care for and monitor the progress of the mother in the postnatal period and to give all necessary advice to the mother on infant care to enable her
Provide full antenatal care including the screening tests in the hospital, community and at home.
The nurse assesses a client admitted to the labor and delivery unit and obtains the following data: dark red vaginal bleeding, uterus slightly tense between contractions, BP 110/68, FHR 110 beats/minute, cervix 1 cm dilated and uneffaced. Based on these assessment findings, what intervention should the nurse implement?
The nurse must initially evaluate the patient’s charts for any bacterial precautions and fall risks. As the nurse walks into the patient’s room, the nurse begins by making sure the environment is clean and safe. The nurse would do this by gathering equipment, washing hands thoroughly, and wear gloves. The nurse is then to greet the patient, introducing self, then let them know exactly what you came to do. The nurse should first ask the patient for his or her name, birthdate, location of where the patient is currently at, and the reason as to what
Childbirth is one of the greatest privileges on the earth anyone could have and we, as women, should feel proud to be major contributors for it. Thus, a mother has to play a key role in aiding the healthcare workers to mitigate the health crisis associated with childbirth by performing her duties faithfully. One such associated health crisis is “Premature (preterm) birth” which occurs when the baby is born too early, before 37 weeks of gestational period (CDC, 2015). The rate of preterm birth ranges from 5% to 18% of babies born across 184 countries (WHO, 2015).
During the first trimester, your pregnancy hormones will make you feel the morning sickness that consist vomiting and nausea. Nausea and vomiting can occur at any time of day. Pregnancy hormones do not adjust with every food and smell; therefore, some certain foods and smell can make you uneasy and feel nausea. The second trimester gives you relief from nausea and
Patients should be given information regarding the importance of prenatal care and availability of prenatal care for future pregnancies.
Devote effort to focus on patient’s need for help with toileting, pain level, and positioning.
Hemochromatosis is when there is excess iron in the body. It is a genetic disorder that is passed down each generation and is inherited by the offspring. Iron overload directly affects the circulatory system but eventually the complications can affect the whole body and many major organs. In addition, hemochromatosis can show no symptoms but the body sometimes shows
This essay will first describe partnership and how a midwife working in the continuity of care model develops and maintains it. Secondly, this essay will describe what a postnatal abdominal palpation is, why it is done and what the outcomes may be. It will also describe the anatomy and physiology of a uterus and involution. Lastly, a description of how the assessment is conducted and how during this partnership and cultural safety is maintained by the midwife.