Acute Care Case Study

NURS 333 – Clinical Management of The Growing Family

NURS 481- Transition to Professional Nursing Practice

 

Purpose of Assignment

The purpose of this paper is for the student to conduct an in-depth assessment of a childbearing woman and her family in order to plan nursing care specific to that client, based on nursing research and AWHONN Standards of Care.  The assessment will include the appropriate physiological, psychological, social, cultural, and environmental influences pertaining to the client and her family as it relates to preconception, conception, antepartum, intrapartum, postpartum, and neonatal care.
 

Student Approach to Assignment

The patient selected for this assignment was a 38-year-old Hispanic female who was admitted at 36 weeks, 5 days gestation with increasing contractions since her last obstetrics visit. The patient has had over five pregnancies which classifies as grand multigravida. A cervical cerclage was placed to prevent premature birth during her most recent pregnancy due to four of her previous pregnancies being complicated due to a shorted cervix.  Additionally, she has a history of a pulmonary embolism in 2017 that was developed two weeks postpartum. The patient was diagnosed with Hypothyroidism in 2014 as well as Gestational Diabetes during her current pregnancy. A few hours after oxytocin was administered, late decelerations were observed when reviewing fetal strips and immediate interventions were required. The care provided throughout the patient’s hospitalization allowed an opportunity to examine and identify factors that can drastically affect health outcomes. As a result, I have obtained a greater understanding of the nursing role as it pertains to the field of obstetrics and gynecology, which has further emphasized the importance of implementing preventative health measures in the prevention of potential complications.

 

Reason for Inclusion of this Assignment in the Portfolio

The inclusion of this assignment into my portfolio is to explore the existence of physiological, psychological, social, cultural, and environment influences pertaining to the patient and her family as it relates to antepartum, intrapartum, postpartum, and neonatal care. This assignment illustrates the care that I provided while in the hospital as well as the interventions that could be implemented to reduce complications from occurring. The following end-of-program outcomes are identified below.

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