A CASE STUDY OF A 29-YEAR-OLD FEMALE
(PORSTPARTUM) WITH A DIAGNOSIS OF ANEMIA
SECONDARY TO BLOOD LOSS
IN PARTIAL FULFILLMENT OF THE REQUIREMENTS OF NCM 107 RLE – CARE OF MOTHER, CHILD,
ADOLESCENTS (WELL CLIENTS)
BSN 2 (BLOCK NB) - RLE GROUP 1 ABIGAIL DOROTHY AGUILAR CHARIEFA AALIYAH AL ALI FRANK
LAWRENCE ALFORQUE
ALYSSA SHANNEN ASIRA BEATRICE CAXANDRA BACAS SHAINA NICOLE BITAIZAR SHAUN JERICO
CABREZOS JOHNRY CAMAHALAN SHEEHAN MARIEL CASTRO MA. JOGIE DIGNOS SAMANTHA VALKYRIE
FLORES KRISTAH DARIZ GAMOLO
,MRS. IVY R. GO, RN, MAN, DSCN
OCTOBER 12, 2022
TABLE OF CONTENTS ACKNOWLEDGEMENT 1
I. GENERAL OBJECTIVES 3
II. SPECIFIC OBJECTIVES 5
III. SIGNIFICANCE OF THE STUDY 6
IV. SCOPE AND LIMITATION 12
V. DEFINITION OF TERMS 14
VI. INTRODUCTION 16
VII. ASSESSMENT 21
VIII. LABORATORY RESULTS 26
IX. PATHOPHYSIOLOGY. 38
A. NARRATIVE PATHOPHYSIOLOGY 38
B. PATHOPHYSIOLOGY SCHEMATIC DIAGRAM 41
X. DRUG STUDY 42
XI. NURSING CARE MANAGEMENT 56
A. NURSING CARE PLAN 1 56
B. NURSING CARE PLAN 2 60
C. NURSING CARE PLAN 3 63
D. NURSING CARE PLAN 4 67
E. NURSING CARE PLAN 5 69
XII. DISCHARGE PLAN 73
XIII. PROGNOSIS 78
XIV. CONCLUSION 84
,XV. RECOMMENDATION 85
XVI. APPENDICES 88
A. ASSESSMENT TOOL 88
B. DOCTOR’S ORDER… 92
C. NURSE’S NOTES 93
D. CONSENT 99
XVII. BIBLIOGRAPHY… 100
ACKNOWLEDGEMENT
THE RLE GROUP WOULD LIKE TO ACKNOWLEDGE THE PEOPLE WHO HAD GIVEN THEIR EFFORT TO
ASSIST THE CONDUCTION OF THIS CASE STUDY IN ANY WAY. THE RESEARCHERS WOULD LIKE TO GIVE
SPECIAL RECOGNITION TO XAVIER UNIVERSITY’S
CLINICAL INSTRUCTOR, DR. IVY R. GO FOR HER PATIENCE, GUIDANCE, VALUABLE ADVICE, AND
CONSTRUCTIVE CRITICISM THAT GREATLY IMPROVED THE DEVELOPMENT AND FRAMEWORK OF THIS
STUDY. FOR TEACHING US HOW TO HANDLE OUR PATIENTS AND PERFORM CERTAIN NURSING
INTERVENTIONS FOR STRAIGHT 2 WEEKS. SHE HAS ENLIGHTENED US WITH MANY INFORMATIONAL
TOPICS REGARDING THE PROCESSES IN THE OBSTETRICS WARD TO PREPARE US TO BECOME
COMPETENT NURSES IN THE FUTURE. THE STUDENTS WOULD LIKE TO THANK DR. IVY GO FOR GUIDING
AND GIVING THE STUDENTS ADVICE ALL THROUGHOUT THEIR OBSTETRICS WARD CLINICAL DUTY.
THE STUDENTS WOULD ALSO LIKE TO EXPRESS DEEP GRATITUDE TO THE PATIENT AND HER FAMILY FOR
PARTICIPATING IN THIS CASE STUDY AND FOR THEIR KIND COOPERATION, CONSISTENT
UNDERSTANDING AND TIME CONTRIBUTED TO ANSWER THE STUDENTS’ QUESTIONS. A SPECIAL
THANKS TO THE MARIA REYNA XAVIER UNIVERSITY HOSPITAL FOR ALLOWING THE STUDENTS TO
ATTEND IN THEIR PRESTIGIOUS AND DISTINGUISHED INSTITUTION. TO THE NURSING STAFF OF MARIA
REYNA XAVIER UNIVERSITY HOSPITAL STATION 2B FOR THEIR CONTINUOUS SUPPORT, COMPASSION,
AND GUIDANCE THAT THEY HAVE SHOWN TO THE STUDENTS DURING THEIR CLINICAL ROTATION.
TO OUR ALMIGHTY FATHER, FOR THE GUIDANCE AND STRENGTH THAT HE HAS GIVEN THE STUDENTS
DURING THE DURATION OF THEIR CLINICAL DUTY. FOR SHOWERING AND
GRACING THEM WITH HIS PRESENCE AND PROVIDING THEM WITH THE SPIRIT AND HOPE THAT THEY
NEED TO COMPLETE THEIR RESPECTIVE ROTATIONS.
THE FRIENDS WHO HAVE INSPIRED THE GROUP WITH THEIR ENTHUSIASTIC ENCOURAGEMENT AND
USEFUL CRITIQUES TOWARDS THIS CASE STUDY. ALSO, THE FAMILY MEMBERS OF EACH OF THE
STUDENTS WHO WERE WILLING TO GIVE THEIR SUPPORT. LASTLY, TO THE VERY OWN GROUP MEMBERS
, WHO INDIVIDUALLY EXHAUSTED THEIR ENERGY, EXTENDED THEIR COMMITMENT, AND DEVOTED
THEMSELVES TO THE CASE STUDY. THIS GROUP WAS ABLE TO OBSERVE GOOD TEAMWORK BY HELPING
ONE ANOTHER AND PRACTICED UNISON, WHICH DEVELOPED MOTIVATION EACH MEMBER USED AS AN
ADVANTAGE TO COMPLETE THE WORK THAT IS CRUCIAL TO THIS CASE STUDY.
I. GENERAL OBJECTIVES
AT THE END OF THIS OBSTETRIC CASE STUDY, THE SECOND-YEAR LEVEL STUDENT NURSES FROM BLOCK
B - RLE GROUP 1 OF ACADEMIC YEAR 2022 - 2023 SHOULD BE ABLE TO:
SKILLS
THE STUDENT NURSES SHOULD SHARPEN THEIR ABILITIES TO APPLY APPROPRIATE NURSING
INTERVENTIONS AND MEDICAL CARE TOWARDS A POSTPARTUM PATIENT. THESE INCLUDE
MONITORING VITAL SIGNS, ASSESSING THE CONDITION OF THE PATIENT, MANAGING THE PATIENT’S
CONCERNS (PAIN, DISCOMFORTS, AND THE LIKE), AS WELL AS LEARNING TO UTILIZE THE OB FORMS.
USING THE NURSING PROCESS, STUDENT NURSES ARE REQUIRED TO PLAN AND DELIVER SAFE,
APPROPRIATE, AND HOLISTIC PATIENT CARE THAT WOULD AID THE PATIENT IN QUICK POSTPARTUM
RECOVERY.
FURTHERMORE, THEY MUST BE ABLE TO EXECUTE THE 10 RIGHTS OF MEDICATION ADMINISTRATION TO
ENSURE THAT NO MEDICATION ERRORS WOULD OCCUR. THIS CASE STUDY OUGHT TO BE ABLE TO HELP
THE STUDENT NURSES DEVELOP THE SKILLS, PERSONALITY, AND WAY OF THINKING NECESSARY TO
DELIVER THE RIGHT NURSING CARE FOR WOMEN AND CHILDREN WHILE MAKING SURE THAT THE
IGNATIAN VALUES OF MAGIS AND CURA PERSONALIS ARE UPHELD WHEN PERFORMING THE DUTIES.
KNOWLEDGE
(PORSTPARTUM) WITH A DIAGNOSIS OF ANEMIA
SECONDARY TO BLOOD LOSS
IN PARTIAL FULFILLMENT OF THE REQUIREMENTS OF NCM 107 RLE – CARE OF MOTHER, CHILD,
ADOLESCENTS (WELL CLIENTS)
BSN 2 (BLOCK NB) - RLE GROUP 1 ABIGAIL DOROTHY AGUILAR CHARIEFA AALIYAH AL ALI FRANK
LAWRENCE ALFORQUE
ALYSSA SHANNEN ASIRA BEATRICE CAXANDRA BACAS SHAINA NICOLE BITAIZAR SHAUN JERICO
CABREZOS JOHNRY CAMAHALAN SHEEHAN MARIEL CASTRO MA. JOGIE DIGNOS SAMANTHA VALKYRIE
FLORES KRISTAH DARIZ GAMOLO
,MRS. IVY R. GO, RN, MAN, DSCN
OCTOBER 12, 2022
TABLE OF CONTENTS ACKNOWLEDGEMENT 1
I. GENERAL OBJECTIVES 3
II. SPECIFIC OBJECTIVES 5
III. SIGNIFICANCE OF THE STUDY 6
IV. SCOPE AND LIMITATION 12
V. DEFINITION OF TERMS 14
VI. INTRODUCTION 16
VII. ASSESSMENT 21
VIII. LABORATORY RESULTS 26
IX. PATHOPHYSIOLOGY. 38
A. NARRATIVE PATHOPHYSIOLOGY 38
B. PATHOPHYSIOLOGY SCHEMATIC DIAGRAM 41
X. DRUG STUDY 42
XI. NURSING CARE MANAGEMENT 56
A. NURSING CARE PLAN 1 56
B. NURSING CARE PLAN 2 60
C. NURSING CARE PLAN 3 63
D. NURSING CARE PLAN 4 67
E. NURSING CARE PLAN 5 69
XII. DISCHARGE PLAN 73
XIII. PROGNOSIS 78
XIV. CONCLUSION 84
,XV. RECOMMENDATION 85
XVI. APPENDICES 88
A. ASSESSMENT TOOL 88
B. DOCTOR’S ORDER… 92
C. NURSE’S NOTES 93
D. CONSENT 99
XVII. BIBLIOGRAPHY… 100
ACKNOWLEDGEMENT
THE RLE GROUP WOULD LIKE TO ACKNOWLEDGE THE PEOPLE WHO HAD GIVEN THEIR EFFORT TO
ASSIST THE CONDUCTION OF THIS CASE STUDY IN ANY WAY. THE RESEARCHERS WOULD LIKE TO GIVE
SPECIAL RECOGNITION TO XAVIER UNIVERSITY’S
CLINICAL INSTRUCTOR, DR. IVY R. GO FOR HER PATIENCE, GUIDANCE, VALUABLE ADVICE, AND
CONSTRUCTIVE CRITICISM THAT GREATLY IMPROVED THE DEVELOPMENT AND FRAMEWORK OF THIS
STUDY. FOR TEACHING US HOW TO HANDLE OUR PATIENTS AND PERFORM CERTAIN NURSING
INTERVENTIONS FOR STRAIGHT 2 WEEKS. SHE HAS ENLIGHTENED US WITH MANY INFORMATIONAL
TOPICS REGARDING THE PROCESSES IN THE OBSTETRICS WARD TO PREPARE US TO BECOME
COMPETENT NURSES IN THE FUTURE. THE STUDENTS WOULD LIKE TO THANK DR. IVY GO FOR GUIDING
AND GIVING THE STUDENTS ADVICE ALL THROUGHOUT THEIR OBSTETRICS WARD CLINICAL DUTY.
THE STUDENTS WOULD ALSO LIKE TO EXPRESS DEEP GRATITUDE TO THE PATIENT AND HER FAMILY FOR
PARTICIPATING IN THIS CASE STUDY AND FOR THEIR KIND COOPERATION, CONSISTENT
UNDERSTANDING AND TIME CONTRIBUTED TO ANSWER THE STUDENTS’ QUESTIONS. A SPECIAL
THANKS TO THE MARIA REYNA XAVIER UNIVERSITY HOSPITAL FOR ALLOWING THE STUDENTS TO
ATTEND IN THEIR PRESTIGIOUS AND DISTINGUISHED INSTITUTION. TO THE NURSING STAFF OF MARIA
REYNA XAVIER UNIVERSITY HOSPITAL STATION 2B FOR THEIR CONTINUOUS SUPPORT, COMPASSION,
AND GUIDANCE THAT THEY HAVE SHOWN TO THE STUDENTS DURING THEIR CLINICAL ROTATION.
TO OUR ALMIGHTY FATHER, FOR THE GUIDANCE AND STRENGTH THAT HE HAS GIVEN THE STUDENTS
DURING THE DURATION OF THEIR CLINICAL DUTY. FOR SHOWERING AND
GRACING THEM WITH HIS PRESENCE AND PROVIDING THEM WITH THE SPIRIT AND HOPE THAT THEY
NEED TO COMPLETE THEIR RESPECTIVE ROTATIONS.
THE FRIENDS WHO HAVE INSPIRED THE GROUP WITH THEIR ENTHUSIASTIC ENCOURAGEMENT AND
USEFUL CRITIQUES TOWARDS THIS CASE STUDY. ALSO, THE FAMILY MEMBERS OF EACH OF THE
STUDENTS WHO WERE WILLING TO GIVE THEIR SUPPORT. LASTLY, TO THE VERY OWN GROUP MEMBERS
, WHO INDIVIDUALLY EXHAUSTED THEIR ENERGY, EXTENDED THEIR COMMITMENT, AND DEVOTED
THEMSELVES TO THE CASE STUDY. THIS GROUP WAS ABLE TO OBSERVE GOOD TEAMWORK BY HELPING
ONE ANOTHER AND PRACTICED UNISON, WHICH DEVELOPED MOTIVATION EACH MEMBER USED AS AN
ADVANTAGE TO COMPLETE THE WORK THAT IS CRUCIAL TO THIS CASE STUDY.
I. GENERAL OBJECTIVES
AT THE END OF THIS OBSTETRIC CASE STUDY, THE SECOND-YEAR LEVEL STUDENT NURSES FROM BLOCK
B - RLE GROUP 1 OF ACADEMIC YEAR 2022 - 2023 SHOULD BE ABLE TO:
SKILLS
THE STUDENT NURSES SHOULD SHARPEN THEIR ABILITIES TO APPLY APPROPRIATE NURSING
INTERVENTIONS AND MEDICAL CARE TOWARDS A POSTPARTUM PATIENT. THESE INCLUDE
MONITORING VITAL SIGNS, ASSESSING THE CONDITION OF THE PATIENT, MANAGING THE PATIENT’S
CONCERNS (PAIN, DISCOMFORTS, AND THE LIKE), AS WELL AS LEARNING TO UTILIZE THE OB FORMS.
USING THE NURSING PROCESS, STUDENT NURSES ARE REQUIRED TO PLAN AND DELIVER SAFE,
APPROPRIATE, AND HOLISTIC PATIENT CARE THAT WOULD AID THE PATIENT IN QUICK POSTPARTUM
RECOVERY.
FURTHERMORE, THEY MUST BE ABLE TO EXECUTE THE 10 RIGHTS OF MEDICATION ADMINISTRATION TO
ENSURE THAT NO MEDICATION ERRORS WOULD OCCUR. THIS CASE STUDY OUGHT TO BE ABLE TO HELP
THE STUDENT NURSES DEVELOP THE SKILLS, PERSONALITY, AND WAY OF THINKING NECESSARY TO
DELIVER THE RIGHT NURSING CARE FOR WOMEN AND CHILDREN WHILE MAKING SURE THAT THE
IGNATIAN VALUES OF MAGIS AND CURA PERSONALIS ARE UPHELD WHEN PERFORMING THE DUTIES.
KNOWLEDGE
