Student Case study placental abruption.

Student Case study placental abruption. Step #1: THINK Like a Nurse by Recognizing RELEVANCE and PRIORITIES Michelle Moore 38yr old Four Principles of Clinical Reasoning: 1. Identify and interpret RELEVANT clinical data. 2. TREND relevant clinical data to determine current status (stable vs. unstable). 3. Grasp the “essence” of the current clinical situation. 4. Determine nursing PRIORITY and plan of care. History of Present Problem: Michelle Moore is a 38-year-old who is 29 weeks pregnant. She began prenatal care at 18 weeks gestation because she was waiting to become insured. She is currently being seen in the Labor and Delivery Unit of the hospital following a callto her health care provider in which she stated she has had constant uterine pain she rated at 6/10 accompanied by vaginalbleeding and decreased fetal movement the past several hours. Past Medical History Home Meds: Student Case study placental abruption. • Gravida 4, Para 1 with a partial abruption at 38 weeks • Menses began at age 12, are usually 29 days apart, lasting for 4-5 days, with moderate-to-light flow. • Successfully breast fed her first child for 11 months. • Vaccinations are up to date. • Michelle is biracial: African American and Asian, and she was tested for sickle cell trait. Lab results reveal Michelle is a carrier of the trait. It is unknown if the father of the baby is also a carrier.