NUR 2026 Week 9 i-Human Case Study: 30-Year-Old with Ectopic Pregnancy - Complete SOAP Note & Plan

This comprehensive document provides a complete and detailed solution for the NUR 2026 Week 9 i-Human case study featuring Elena Rodriguez, a 30-year-old female presenting with lower abdominal pain and vaginal spotting. The case study is meticulously broken down into a full patient workup, including: History of Presenting Illness (HPI): Utilizing the OLD-CARTS framework to analyze the chief complaint. Review of Systems (ROS): A thorough review covering all major body systems. Physical Exam: Detailed findings from the abdominal, pelvic, and cardiovascular exams. Diagnostic Results: Interpretation of critical labs (hCG, CBC) and imaging (Transvaginal Ultrasound). Assessment & Differential Diagnosis: Clinical reasoning that differentiates a ruptured ectopic pregnancy from appendicitis, spontaneous abortion, and ovarian torsion. Treatment Plan: A clear and organized medical and surgical plan, including emergent laparoscopy, fluid resuscitation, and pain management. Nursing Care Plan: Includes NANDA diagnoses, specific interventions, and rationales for Deficient Fluid Volume, Acute Pain, and Anxiety. Perfect for nursing and medical students, this guide helps you understand the clinical reasoning, diagnostic process, and critical interventions required for a high-acuity OB/GYN emergency