*NURSING > CASE STUDY > MaternityCase2_BP Maternity Case 2: Brenda Patton Documentation Assignments (All)
MaternityCase2_BP Maternity Case 2: Brenda Patton Documentation Assignments
Document Content and Description Below
MaternityCase2_BP Maternity Case 2: Brenda Patton Documentation Assignments 1. Document your initial assessment data of Ms. Patton, including uterine activity (frequency and duration), fetal h... eart rate (FHR) activity (baseline FHR, long-term variability, accelerations, and decelerations), vaginal discharge, and maternal vital signs. Brenda Patton is an 18-year-old Caucasian female, G1P0 at 38 2/7 weeks of gestation admitted to the labor and birthing unit for labor assessment. The patient states that her water may have broken earlier this morning and she thinks she is in labor. AmniSure was positive. Vaginal exam reveals 50% effacement of cervix, cervical dilation 4 cm, and fetus at -2 station. The lab report indicates that the patient's group B strep vaginorectal culture taken at 36 weeks was positive. Patient status - Heart rate: 89. Pulse: Present. Blood pressure: 120/71 mmHg. Respiration: 20. Conscious state: Appropriate. SpO2: 97%. Temp: 37 C. EFM: Baseline with occasional accelerations. Fetal heart rate: 141. 2. Document the medication(s) that you administered. Penicillin 5 million IU IVPB 3. Document Ms. Patton’s pain during labor (severity during contractions, location, quality, interventions taken, and response to interventions) and the measures that were taken to promote her desire for a natural birth. Uterus tone was soft between contractions. Regular contractions with moderate intensity had started. Contractions were approximately 4 minutes apart and lasting 50 seconds. Pain: 2 between contractions., Location: everywhere 4. Document your handoff report in the situation-background-assessment-recommendation (SBAR) format to communicate what further care Ms. Patton needs. S: ………………………………….CONTINUED…………………………………………. [Show More]
Last updated: 2 years ago
Preview 1 out of 2 pages
Buy this document to get the full access instantly
Instant Download Access after purchase
Buy NowInstant download
We Accept:
Reviews( 0 )
$15.00
Can't find what you want? Try our AI powered Search
Document information
Connected school, study & course
About the document
Uploaded On
Jan 22, 2021
Number of pages
2
Written in
Additional information
This document has been written for:
Uploaded
Jan 22, 2021
Downloads
0
Views
141
 (1).png)
