Emergent Delivery (OB) (30 min)
Included In This Lesson
Study Tools For Emergent Delivery (OB) (30 min)
Outline
A 27-year-old female, Jessica, comes to the emergency room with horrible abdominal pain. She is pregnant but not sure how far along she is but thinks 36 weeks. She had no prenatal care and has a history of cocaine use. The patient is disheveled and alone when she arrives.
What is the nurse’s priority?
The nurse tells the patient, “I need to see if I can get a fetal heart rate.” The patient is out of control screaming, “it hurts.” The nurse asks, “where does it hurt, is it radiating to your back?” The nurse assesses the abdomen and notes it to feel really firm. The patient continues to say, “I dont feel well. This hurts so bad.” The nurse also notes some blood, which is bloody show. The nurse asks, “Jessica, when was the last time you used cocaine?” The patient responds “I did this morning but it was my first time in a long time.” The nurse tells her “I found the heart rate, it is about 100 bpm”
What is the nurse’s next step?
The nurse turns the patient to the the left side and tells her, “I’m going to put oxygen on you because this extra oxygen will go to the baby and help the heart rate. We will also start a fluid bolus.” The patient states, “My stomach just hurts so bad.” The nurse feels the stomach and notes it to feel very rigid and boardlike.
What is most likely happening with this patient?
What is the next step?
aja -year off
Concepts Covered:
- Basics of Sociology
- Statistics
- Fundamentals of Emergency Nursing
- Factors Influencing Community Health
- Concepts of Population Health
- Studying
- Community Health Overview
- Developmental Considerations
- Microbiology
- Communication
- Legal and Ethical Issues
- Understanding Society
- Circulatory System
- Emergency Care of the Cardiac Patient
- Emergency Care of the Trauma Patient
- Emergency Care of the Neurological Patient
- Neurological
- Multisystem
- Medication Administration
- Emergency Care of the Respiratory Patient
- Health & Stress
- Delegation
- Cardiovascular
- Labor Complications
- Pregnancy Risks
- Newborn Complications
- Fetal Development
- Terminology
- Prenatal Concepts
- Newborn Care
- Labor and Delivery
- Postpartum Care
- Postpartum Complications
- Gastrointestinal
- Behavior
- Concepts of Mental Health
- Emotions and Motivation
- Growth & Development
- Intelligence and Language
- Psychological Disorders
- State of Consciousness
- Test Taking Strategies
- Note Taking
- Basics of NCLEX
- Substance Abuse Disorders
- Urinary System
- Nervous System
- Respiratory System
- Basics of Human Biology
- Concepts of Pharmacology
- Gastrointestinal Disorders
- Depressive Disorders
- Prioritization
- Anxiety Disorders
- Cognitive Disorders
- Eating Disorders
- Personality Disorders
- Psychotic Disorders
- Trauma-Stress Disorders
- Bipolar Disorders
- Psychological Emergencies
- Somatoform Disorders
- Peripheral Nervous System Disorders
- Cardiac Disorders
- Musculoskeletal Disorders
- Noninfectious Respiratory Disorder
- Central Nervous System Disorders – Brain
- Respiratory Emergencies
- Perioperative Nursing Roles
- Integumentary Disorders
- Disorders of Pancreas
- Neurological Emergencies
- Intraoperative Nursing
- Central Nervous System Disorders – Spinal Cord
- Shock
- Preoperative Nursing
- Vascular Disorders
- Postoperative Nursing
- Neurological Trauma
- Musculoskeletal Trauma
- EENT Disorders
- Prefixes
- Suffixes
- Proteins
- Med Term Basic
- Med Term Whole
- Basics of Mathematics
- Adult
- Basic
- Neonatal
- Pediatric
- Respiratory Disorders