B. Develop a 3-4-page paper to address the following categories:    1. Patient’s personal, family and social history, pathophysiology (if applicable), and assessment of the patient    2. The present a plan of care and future recommendations for improvement    3. Nursing interventions with rationale    4. One primary and one secondary nursing diagnosis    5. Conclusion to include a nursing implication for practice, education, and/or research

Question A. Select a maternal child clinical case study from the list attachment below; andB. Develop a 3-4-page paper to address the following categories:    1. Patient’s personal, family and social history, pathophysiology (if applicable), and assessment of the patient    2. The present a plan of care and future recommendations for improvement    3. Nursing interventions with rationale    4. One primary and one secondary nursing diagnosis    5. Conclusion to include a nursing implication for practice, education, and/or researchM.G., is a baby female, 1-day old, delivered via normal spontaneous vaginal delivery to a 25-year-old G1P0 syphilis non-reactive, group B strep (GBS) negative, rubella immune, hepatitis B surface antigen negative mother with early preeclampsia and thrombocytopenia (platelet count 80,000). Rupture of membranes occurred 11 hours prior to delivery with clear fluid. Intrapartum medications included 3 doses of butorphanol (narcotic opioid analgesic). The last dose was administered within 1 hr. of delivery. There was no maternal fever. Apgars were 8 and 9, vital signs are: HR 140, T 37, BP 47/39, RR 54. Oxygen saturation is 98-100% in room air. The infant appears slightly pale and mottled. She is centrally pink with persistent grunting, shallow respirations, and lethargy. Her fontanelle is soft and flat. Heart exam is normal. Lungs show good aeration. Abdomen is soft and without masses. Pulses are 1+ throughout with 3-4 sec capillary refill. Neuro exam shows decreased tone and a weak, intermittent cry. Labs: CBC with WBC 3,200, 6% segs, 14% bands, 76% lymphocytes, Hgb 15, Hct 43, platelets 168,000. Blood glucose 52. The chest x-ray is rotated with fluid in the right fissure, diffuse streakiness on the left, and a normal cardiac silhouette. CBG (capillary blood gas) pH 7.31, pCO2 43, pO2 44, BE-4. CSF: 2430 RBCs, 20 WBCs, 1% PMN, 17% lymphocytes, 82% monocytes, glucose 39, protein 133, gram stain shows no organisms. Health Science Science Nursing NUR 225 Share QuestionEmailCopy link Comments (0)