Ward/Hisley, Maternal-Childcare Nursing, Case Study Scenario for Mom Anna and Baby Girl SkylarAnna is a 34 year old, now a G3, P3 whose pregnancy was complicated by gestational diabetes mellitus and delivered via c-section 1 hour ago at 37 weeks 2 days gestational age. She is in the PACU receiving schedule IV acetaminophen 1g and ketorolac 30mg both every 6 hours for pain mangement. Her legs are still numb from her spinal anesthesia for the c-section, but overall she is comfortable and denies any pain. Indwelling urethral catheter is present. Abdominal incision dressing is clean, dry, and intact. Her fundus is boggy, +1 U, deviated to the left slightly with moderate rubra lochia, no clots. Lungs are clear and equal. EKG shows normal sinus rhythm, O2 saturation 99% room air. Blood pressure is stable and she is afebrile. Bowel sounds are present and she is tolerating ice chips and will move to a clear liquids soon. She is skin to skin with her baby at this time.1. What is the priority nursing diagnosis at this time ? 2. What is the expected outcome associated with the priority nursing diagnosis? 3. What can happen because of this issue?4. Describe the teaching/learning needs related to the scenario that correspond to postpartum/post operative care following ceserean birth.5. List nursing interventions that correspond to the priority nursing diagnosis. Baby Girl Skylar is the newborn, who weighs 4196 (9lbs 4oz). The nurse notes Baby Skylar is jittery, feeding poorly, and exhibiting tremors while on her mother’s chest. She attempts to latch, but is crying. Vital signs: respiratory rate 62, heart rate 158, temperature 98.1F. Baby Girl Skylar has already received erythromyocin, vitamin K, and her hepatitis B vaccine. 6. What is the priority nursing diagnosis at this time ? 7. What is the expected outcome associated with the priority nursing diagnosis?8. Describe the teaching/learning needs related to the scenario that correspond to the priority nursing diagnosis.9. List nursing interventions that correspond to the priority nursing diagnosis. Health Science Science NursingNURS MISC
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