|
A pregnant patient arrives in the Emergency Department with complaints of vaginal bleeding. You will choose the gestational age of your patient, and based on that gestational age answer the following questions: |
|
gestational age choose for LMP AND EDD OR FUNDAL EXAMINATION
The first trimster implantation bleeding 2. miss carriage3. ectopic pragncy .4 molar pregancy 5. cervical changes 6.infection
third trimester vaginal bleeding;1. placenta previa 2.abruption placenta
nusing intervation;1 assess maternal physiological circlatory status and blood vloume 2check fetal heartrate 3.note expected date of birth and fundal weight.4.monitor and record matrenal blood loss and uterine contractions 5.stricet bed rest in lateral postion 6.usg and amniocentesis explain procedures 7 replace maternal fluid or blood loss8.oxygen administer 9.prepare client for appropriate surgical interventions 9.patient given emtional support
A pregnant patient arrives in the Emergency Department with complaints of vaginal bleeding. You will choose...
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. What implications and priorities for nursing care can be drawn at this time?
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. Does the evidence objectively support your argument (conclusion)?
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. Assumptions—Describe an underlying assumption about each of the following issues: Possible diagnoses for Ashley Laboratory and diagnostic tests...
Assessments: 1. A patient arrives in triage claiming she is in labor. She tells you that this is her 7th pregnancy, with previous deliveries at 37, 28, 40, 39 and 38 weeks respectively, as well as a loss at 14 weeks. She reports that one of her children died of SIDS at 4 months of age. What is her G/P? GTPAL? 2. You are caring for a woman in the postpartum unit. She just delivered twins at 35 weeks. She...
Scenario 1 A patient arrives at the emergency department and is admitted for increased pain with the source unknown. The on-call physician asks the intake staff, “What is the source of payment for the patient?” in order to assist with his decision to see the patient or not. The physician then declines to see the patient based on the insurance status. Scenario 2 A patient is admitted to the medical floor in a health care facility. She is confused and...
A female patient, age 15, is brought to the hospital emergency room with complaints of recurrent kidney infections. The patient has stated that she has regular menstrual periods. The ER physician writes orders for a renal sonogram. After taking the appropriate images of the kidneys, the sonographer begins taking a sonogram of the patient’s urinary bladder. The sonographer notes that the female is about 20 weeks pregnant and that there is no active fetal heartbeat. The patient’s mother is in...
Your patient is a 42-year-old female that arrives in the ED with complaints of fever and not feeling well. She is currently undergoing chemotherapy for bladder cancer. She has an indwelling urinary catheter with scant amount of dark, foul smelling urine. She has a temperature of 102.2F, HR 136, BP 110/50 and RR 28. She is allergic to penicillin and Sulfa. What type of shock is she experiencing? What interventions do you anticipate the doctor will order? What can you...
Emergency Department Note This 26-year-old pregnant female presented to the emergency department. At the time of admission she was experiencing crampy abdominal pain. She stated that at home she had passed a considerable amount of blood. She is also having vaginal bleeding at this time. She states it has been 8 weeks since her last menstrual period. Diagnosis: spontaneous abortion. Plan: I will contact the patient’s OB to determine a plan of care. What is the correct ICD-10-CM diagnostic code(s)...
A 68-year-old woman arrives in the emergency department and tells the nurse, “I think I had a heart attack.” She states that earlier that day while on her daily 3-mile walk, she had an episode of chest pain that lasted a couple of minutes but was resolved with rest. The pain returned shortly after arriving home. Again the pain was relieved with rest. On admission to the ED, her ECG rhythm is normal sinus rhythm. She has no abnormal heart...
MN, age 69 is admitted to the Emergency Department with complaints of tightness and pain upon inspiration, SOBOE, fever of 102, productive cough and fatigue. CBC reveals elevated WBC’s. A respiratory exam reveals decreased breath sounds bilaterally and crackles in the right base posteriorly. MN has not been able to a walk everyday as a result of feeling tired and “coughing all the time.” MN exercises every day to help maintain her weight. MN states the cough keeps her up...