Maternity Case Study

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Case Study Part IV Postpartum, Newborn, Breastfeeding 1. What’s the baby’s Ballard Score? a. Term – baby is 40 weeks (score 41) b. Preterm c. Post term 2. What’s important to do in the first 72 hours post partum for Esperanza? * Esperanze must receive a Rhogam injection within the first 72 hrs because her baby’s BTG is A positive. 3. What is probably going on with the baby’s state of conciousness? * Newborn infants undergo a transition period from intrauterine to extrauterine during the first 8 hours of life. Esperanza’s baby went through a period of decreased responsiveness characterized by his sleepiness (lasts 30m – 2hrs) and then followed by a second period of reactivity. (can last 10m – several…show more content…
- Hct 31.2 (Normal: 34-47%) Low for the normal female, however for the postpartum woman is expected to their Hct level between 30-44%. No action required by the nurse. If this level was found to be abnormal, the same interventions applied to low Hgb would apply. - WBC 15,000 (Normal: 4,500 – 11,000) Hi for the normal female, the increase in WBC is related to the trauma of the delivery. Postpartum women are expected to have a count ranging between 9,700 – 25,700. However, if the level exceeded 25,000 and the patient presented a fever, this would alert the nurse of the presence of an infection. 7. Write a D/H nursing note including all the pt. education you should include. 5/12/10 Discharge counseling was done with Mrs. Esperanza, she understood all instructions provided, as follows: physical signs and symptoms that may indicate a problem, post partum home care, resumption of sexual intercourse, the importance of follow-up visits for mother-baby checkups and contraception. After counseling was performed the identification for both mother and child were verified. Mrs. Esperanza was escorted to her car by her spouse and hospital staff nurse. A car seat was brought in by Mrs. Esperanza’s husband and the baby was transported off the hospital premises safely secured in a rear-facing infant car seat. --------------------------------------I.Sanchez, RN 007 Patient
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