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?
Tina 2026
Concepts Covered:
- Test Taking Strategies
- Cardiac Disorders
- Emergency Care of the Cardiac Patient
- Note Taking
- Basics of NCLEX
- Prefixes
- Suffixes
- Medication Administration
- Gastrointestinal Disorders
- Respiratory Disorders
- Respiratory System
- Urinary System
- Pregnancy Risks
- Labor Complications
- Hematologic Disorders
- Fundamentals of Emergency Nursing
- Factors Influencing Community Health
- Delegation
- Perioperative Nursing Roles
- EENT Disorders
- Basics of Chemistry
- Adult
- Lower GI Disorders
- Emergency Care of the Neurological Patient
- Acute & Chronic Renal Disorders
- Emergency Care of the Respiratory Patient
- Respiratory Emergencies
- Newborn Complications
- Studying
- Substance Abuse Disorders
- Disorders of the Adrenal Gland
- Central Nervous System Disorders – Brain
- Behavior
- Documentation and Communication
- Preoperative Nursing
- Disorders of the Thyroid & Parathyroid Glands
- Endocrine System
- Legal and Ethical Issues
- Communication
- Understanding Society
- Immunological Disorders
- Infectious Disease Disorders
- Oncology Disorders
- Female Reproductive Disorders
- Fetal Development
- Terminology
- Anxiety Disorders
- Cognitive Disorders
- Musculoskeletal Trauma
- Intraoperative Nursing
- Tissues and Glands
- Vascular Disorders
- Renal Disorders
- Disorders of Pancreas
- Eating Disorders
- Prenatal Concepts
- Microbiology
- Shock
- Male Reproductive Disorders
- Sexually Transmitted Infections
- Infectious Respiratory Disorder
- Nervous System
- Depressive Disorders
- Personality Disorders
- Psychotic Disorders
- Trauma-Stress Disorders
- Circulatory System
- Noninfectious Respiratory Disorder
- Peripheral Nervous System Disorders
- Integumentary Disorders
- Neurologic and Cognitive Disorders
- Integumentary Disorders
- Newborn Care
- Upper GI Disorders
- Basics of Mathematics
- Statistics
- Labor and Delivery
- Proteins
- Emergency Care of the Trauma Patient
- Hematologic System
- Hematologic Disorders
- Developmental Considerations
- Skeletal System
- Digestive System
- Urinary Disorders
- Postpartum Care
- Basic
- Liver & Gallbladder Disorders
- Musculoskeletal Disorders
- Bipolar Disorders
- Metabolism
- Cardiovascular Disorders
- Shock
- Cardiovascular
- Concepts of Population Health
- Musculoskeletal Disorders
- EENT Disorders
- Postpartum Complications
- Basics of Human Biology
- Postoperative Nursing
- Neurological Emergencies
- Prioritization
- Disorders of Thermoregulation
- Writing
- Community Health Overview
- Dosage Calculations
- Neurological Trauma
- Concepts of Mental Health
- Health & Stress
- Endocrine and Metabolic Disorders
- Childhood Growth and Development
- Prenatal and Neonatal Growth and Development
- Disorders of the Posterior Pituitary Gland
- Concepts of Pharmacology
- Integumentary Important Points
- Emotions and Motivation
- Renal and Urinary Disorders
- Multisystem
- Developmental Theories
- Reproductive System
- Adulthood Growth and Development
- Psychological Emergencies
- Growth & Development
- Basics of Sociology
- Somatoform Disorders
- Reading
- Neurological
- Hematology
- Intelligence and Language
- Oncologic Disorders
- Med Term Basic
- Med Term Whole
- Central Nervous System Disorders – Spinal Cord
- Muscular System
- Neonatal
- Learning Pharmacology
- Pediatric
- Psychological Disorders
- Respiratory
- State of Consciousness
- Sensory System