Scribd Logo
Upload

Welcome to Scribd!

  • 488 views

    Final Reqt NCM 109 RLE

    Uploaded by

    Edelweiss Marie Cayetano
    This document contains 3 case studies related to postpartum care. Case 1 involves a 16-year old who delivered by c-section and is at risk for postpartum infection. Case 2 describes a client 3 hours postpartum experiencing cramping while nursing with elevated vital signs. Case 3 involves a 29-week preterm newborn where priorities are respiratory and thermoregulation support while addressing parental concerns.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Final Reqt NCM 109 RLE

    Uploaded by

    Edelweiss Marie Cayetano
    488 views1 page
    This document contains 3 case studies related to postpartum care. Case 1 involves a 16-year old who delivered by c-section and is at risk for postpartum infection. Case 2 describes a client 3 hours postpartum experiencing cramping while nursing with elevated vital signs. Case 3 involves a 29-week preterm newborn where priorities are respiratory and thermoregulation support while addressing parental concerns.

    Original Description:

    RLE

    Original Title

    Final-Reqt-NCM-109-RLE

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document contains 3 case studies related to postpartum care. Case 1 involves a 16-year old who delivered by c-section and is at risk for postpartum infection. Case 2 describes a client 3 hours postpartum experiencing cramping while nursing with elevated vital signs. Case 3 involves a 29-week preterm newborn where priorities are respiratory and thermoregulation support while addressing parental concerns.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    488 views1 page

    Final Reqt NCM 109 RLE

    Uploaded by

    Edelweiss Marie Cayetano
    This document contains 3 case studies related to postpartum care. Case 1 involves a 16-year old who delivered by c-section and is at risk for postpartum infection. Case 2 describes a client 3 hours postpartum experiencing cramping while nursing with elevated vital signs. Case 3 involves a 29-week preterm newborn where priorities are respiratory and thermoregulation support while addressing parental concerns.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    FINAL REQUIREMENT in NCM 109 - RLE

    CASE ANALYSIS

    Case 1: The client is a 16-year-old gravida 1, para 1 who delivered her infant by cesarean at 37 weeks
    gestation following prolonged rupture of membranes and failure to progress during labor.

    a. What factors increase the client’s risk for a postpartal infection?

    b. What ongoing nursing assessments are necessary to identify an infection?

    c. What signs and symptoms are used to diagnose an infection?

    d. What is the first step in treating an infection?

    e. What nursing diagnoses are pertinent to a client with a postpartal infection?

    Case 2: A client delivered an infant 3 hours ago. The nurse assesses the client and finds the following:
    fundus firm at 1 centimeter below the umbilicus, small amount of lochia rubra, midline episiotomy well
    approximated. The client states she is “cramping really bad” when she nurses. She has not ambulated
    since delivery.

    a. What else would be important to know about this client?

    b. The client states she would like to go to the bathroom. What should the nurse do?

    c. The client is unable to void. What should the nurse do next?

    d. The client’s vital signs are: T 100.8 F, P 56, R 16, BP 110/56. How should the nurse interpret these findings,
    and what interventions are indicated?

    e. What behaviors would the nurse expect to see if this client is bonding positively with her newborn?

    Case 3: A 29-week-gestation newborn is 6 hours of age. You are the nurse assigned to care for him in
    the neonatal intensive care unit.

    a. What additional information do you need before planning care for this newborn?

    b. What are the priorities for the newborn’s care at this time?

    c. The parents are concerned because they have heard oxygen can cause blindness in preterm infants. How
    would you respond?

    d. Discuss how you can meet the newborn’s psychosocial and developmental needs.

    e. The mother asks if she can still breast-feed. How should you respond?

    You might also like