*NURSING > vSim For Nursing > OB- SwiftRiver Clara & Maria (answered) / Clara Guidry Room 301 / Maria Sanchez Room 302 (All)

OB- SwiftRiver Clara & Maria (answered) / Clara Guidry Room 301 / Maria Sanchez Room 302

Document Content and Description Below

OB- SwiftRiver Clara & Maria (answered) / Clara Guidry Room 301 / Maria Sanchez Room 302 Clara Guidry Room 301 Clara Guidry, Patient is a 34 y/o G5P4 who gave birth to a 9lb. 3 oz male infant follow... ing a 12-hour elective oxytocin induction of labor. She had an uncomplicated labor, epidural anesthesia and a rapid second stage, no episiotomy or perineal lacerations. Indwelling urinary catheter was removed prior to delivery. She is now one hour postpartum and is breastfeeding her baby. An IV of 1000 mL Lactated Ringers is infusing at KVO rate with an infusion of Lactated Ringers with oxytocin 20 Units infusing IVPB at 125 mL/hour. Upon entering her room, she tells you that she “feels wet”, and may have urinated on herself since she is still numb from the epidural and unable to move legs. Your assessment reveals blood pooling under buttocks onto the underpads with numerous large clots. She is anxious, appears pale, and complains of feeling light-headed. Her husband is at her bedside. Maria Sanchez Room 302 Maria Sanchez, 20-year-old female, G1 P1 L1, 39 weeks gestation. Pregnancy uncomplicated. O+, Rubella immune, Group B Strep negative. NKDA. 12-hour 1st stage, minute 3rd stage. Spontaneous vaginal delivery with 1st degree perineal laceration one hour ago. Vital signs stable; fundus firm, midline, at umbilicus; Lochia rubra m to bathroom x1- 500 mL, no dysuria, instructed on peri-care; Legs still a little “tingly” but able to bear weight with assist X2. Pain level 3/10- ice to perineum with relie Juan- 3500 g; Apgar 8 & 9; T 36.8 C, 98.2 F; AP 156 beats/minute, regular; R 52 breaths/minute, irregular. Skin-to-skin with mother for first hour. Beginning to show hu is do both breast and bottle feeding; “las dos cosas.” Maria’s husband Raul is a quiet presence. Her mother, grandmother, and older sister were Maria’s support perso Raul are bilingual in English and Spanish. They were both born in the US- are Mexican Americans. Her mother speaks and understands more English than her grandm [Show More]

Last updated: 2 years ago

Preview 1 out of 9 pages

Buy Now

Instant download

We Accept: