Question Answered step-by-step Postpartum Case StudyPatient Case:Diane is a 25-year-old Caucasianmother who is A- andRubella Immune. She has an obstetrical history of 1-1-0-0-1. She wastransferred to the postpartum (PP) unit 2 hours after a SVD of a healthynewborn male infant that weighed 7 lb, 6 oz. The placenta was intactupon delivery. Diane’s labor was uncomplicated; she received 50micrograms of Sublimaze (fentanyl citrate) IV x 1 at 4 hours prior todelivery and utilized the whirlpool tub for pain control. Her recordindicates she had a 2nddegree laceration. Upon transfer to thepostpartum unit, her vital signs were: BP 115/68, pulse 68, respirations18, and temperature 99.1 F. Additional assessment indicates that her fundus is firm, and located at U/U, andthe perineal sutures are intact with mild swelling. She has moderate rubra lochia and has not passed any clotssince delivery.Medications:400mg Ibuprofen PO q 4-6 hours PRN for pain500mg Tylenol PO q 4 hours PRN for pain1 Tab Prenatal Vitamin QD1 Tab Colace (docusate sodium) QD1.What information would be important to know about Diane that was not received in report?2.Does Diane need RhoGAM?3.How will Diane’s vital signs be impacted after delivery?4.Identify 4 priority nursing assessments/interventions for Diane?5.What will you teach Diane regarding components of the BUBBLE LE assessment?6.What would be different if Diane had a C-section?7.Identify factors that would affect the involution of the uterus. What is this called? What does it cause?                                        Health Science Science Nursing MEDICAL BI MISC Share QuestionEmailCopy link Comments (0)

Question Answered step-by-step Postpartum Case StudyPatient Case:Diane is a 25-year-old Caucasianmother who is A- andRubella Immune. She has an obstetrical history of 1-1-0-0-1. She wastransferred to the postpartum (PP) unit 2 hours after a SVD of a healthynewborn male infant that weighed 7 lb, 6 oz. The placenta was intactupon delivery. Diane’s labor was uncomplicated; she received 50micrograms of Sublimaze (fentanyl citrate) IV x 1 at 4 hours prior todelivery and utilized the whirlpool tub for pain control. Her recordindicates she had a 2nddegree laceration. Upon transfer to thepostpartum unit, her vital signs were: BP 115/68, pulse 68, respirations18, and temperature 99.1 F. Additional assessment indicates that her fundus is firm, and located at U/U, andthe perineal sutures are intact with mild swelling. She has moderate rubra lochia and has not passed any clotssince delivery.Medications:400mg Ibuprofen PO q 4-6 hours PRN for pain500mg Tylenol PO q 4 hours PRN for pain1 Tab Prenatal Vitamin QD1 Tab Colace (docusate sodium) QD1.What information would be important to know about Diane that was not received in report?2.Does Diane need RhoGAM?3.How will Diane’s vital signs be impacted after delivery?4.Identify 4 priority nursing assessments/interventions for Diane?5.What will you teach Diane regarding components of the BUBBLE LE assessment?6.What would be different if Diane had a C-section?7.Identify factors that would affect the involution of the uterus. What is this called? What does it cause?                                        Health Science Science Nursing MEDICAL BI MISC Share QuestionEmailCopy link Comments (0)