*NURSING > CASE STUDY > POSTPARTUM VAGINAL DELIVERY_CASE STUDY UNFOLDING Reasoning (Anne Jones, 17 years old) Elaborate Answ (All)
POSTPARTUM VAGINAL DELIVERY_CASE STUDY UNFOLDING Reasoning (Anne Jones, 17 years old) Elaborate Answers to Questions Anne Jones is a 17-year-old G1 P1 39 weeks’ gestation who delivered a healthy ma... le infant at 2032 yesterday. Placenta delivered at 2045. No pain medication was given. She received a 250 mL bolus of Pitocin 30 units/500 mL IV after the delivery of the placenta then received 200 mL/hour until the IV bag was completed. The uterus is firm, one finger breadth below umbilicus and midline — Lochia moderate rubra. Mid-line episiotomy is well approximated, slightly bruised and perineum is slightly swollen. She had an ice pack applied to perineum throughout the night. Anne is up and ambulating ad lib and voiding without difficulty. She had 500 mL in/850 mL urine out. Vital signs: BP: 124/78, P: 74, R: 18, T: 98.6 F/37.0 C, O2: 98% room air, Pain 3/10 in perineum. She is on a regular diet. She was positive for Group Beta strep (GBS) and received a total of three doses of ampicillin IVPB during labor, her blood type is B-, and rubella positive. [Show More]
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