PROM critical thinking map .docx - Name OB Critical...

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Prolonged Rupture of Membranes Risk for Early Onset Neonatal Sepsis Past OB History: Mothers first child Past Medical History: Hx of depression GTPAL: G1 T1 P0 A0 L1 Vaginal: Yes or No Induction/Spontaneous Cesarean: Yes or No Unplanned/Planned Mothers labor did not progress properly, therefore they prepped her for cesarean at 8cm, 60% effaced and -2 station. Epidural: Yes or NO Pathophysiology (In your own words): Prolonged rupture of membranes is a rupture of membranes lasting longer than 18 hours. The infant should be observed for 48 hours of life at the hospital related to complications. Mother is a first-time mom, was not aware that she should come to the hospital following the rupture of her water. Rather she was waiting to feel increasing pain and contractions. This did not occur. 105 hours following the rupture of membranes, the patient came to the hospital. Labor was unsuccessful and resulted in a cesarean section. Infants blood screening results had not returned yet. Complications/Potential Complications (Physiologic Adaptation(s)/Reduction of Risk Potential): - Cord prolapse - Chorioamnionitis - Infection - Pulmonary hypoplasia - Increased ANRBC - Fetal hypoxia - Ischemia - Abruption - Asphyxia Psychosocial Concerns (Psychosocial Integrity): - Anxiety - Fear - Knowledge deficit - Depression - Pain - Powerlessness OB Critical Thinking Map Name Date 11/10/20
Maternal Assessment (Physiological Adaptation) **performed by the student **vital signs, head to toe, BUBBLE(LE) **Dilation during shif (if applicable) **Pain Vitals are within normal limits. Assessed lochia and fundal height. The nurse assessed ability to breast feed and emotional status. The nurse allowed me to remove the patients foley from the cesarean and assist with perineal care. We instructed the patient about frequently changing her perineal pad and proper cleaning with her squeeze bottle. The patient expressed she was not experiencing much pain, though she was less than 12 hours postoperative, my nurse instructed her to alert us at her first discomfort.

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