Question

Ashley is a 29-year-old G6 P5 who presents to the emergency department with heavy vaginal bleeding and contractions. She has had no prenatal care but is approximately 33 weeks of gestation by her LMP (Last menstrual period). During her medical screening examination Ashley admitted to past cocaine use and reported that her boyfriend punched her in the abdomen earlier in the day.

1. What implications and priorities for nursing care can be drawn at this time?

Answer 1

Usage of coccaine during pregnancy can decrease lqnguage development abilities and behavioural problems.Moreover,it effects the coginitivie and neurological development of the baby.Morover,serious health issues such as cardiac arrhythmia,seizures etc .can occur in mothers body .so,emergency measures to be taken to prevent further complication in this lady.vital signs should be checked and ECG shou,d be monitored to find out changes in ECG.foeta heart sound should be monitored to computed tomography to find out foetal distress as she had hit in her abdoment.check the bleeding to co firm any internal injury or rupture of uterus due to punch in her abdomen.energency c-section can be done if severe bleeding or foetal distress.all emwrgency equipment should be kept beside patients bed .