OB Case Study 100% Updated Solutions.

Case Study Name _____________________________ Questions 1- 6 Triage 7/9/2019 @ 1535 TA, 19 years old, has a history of spontaneous abortion at 10 weeks gestation and a preterm delivery / demise of a neonate at 22 weeks gestation. Now pregnant with twins, TA leaves her job as a WalMart checker and reports to triage at 15:35 with complaints of increased clear vaginal discharge and feelings of pelvic pressure. Laboratory Initial Prenatal Labs Blood type D (Rh) type Antibody screen HCT HGB MCV PAP test Varicella Rubella VDRL Urine Culture HBsAG HIV counseling / testing Other: TSH Platelets Result B Negative Negative Negative 32.3 11.3 90.0 Normal Exposed Non-Immune Non-Reactive Negative Negative Negative 2.490 176 Examination of her cervix reveals 2-cm dilation and a presenting fetal part of Baby A is low in the pelvis. Nursing care is documented as follows: 1600 “Pt presents to triage 1535 c/o pelvic pressure and discharge. EFM placed. VSS. Afebrile. Physical assessment WNL. Pt works at WM, states “I’ve been on my feet all day.” Reports very little PO intake, states “I can’t have drinks at my station.” Abdomen soft and non-tender, no ctx palpable. Active fetal movt noted upon placement of EFM. Baby A: FHT’s stable, 140 BL, moderate variability noted, accels noted; Baby B: FHT’s stable, 150 BL, moderate variability noted, accels noted. Uterine Contractions: q 2-3 min, last 60 secs each, moderate to palpatio