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
With the help of this case study, the student nurses should be able to apply the theories, guidelines, and
skills learned in maternal and child health nursing to health promotion, health restoration, health
maintenance, and rehabilitation. Furthermore, it is expected that student nurses will gain a better
clinical understanding in terms of the concepts on cesarean births and its implications, postpartum
recovery, and postpartum stress. The rationale, indications, contraindications, adverse effects, and
pharmacokinetic and pharmacodynamic characteristics of the pharmaceuticals in the case study should
be internalized and familiarized by the student nurse. Additionally, the student nurses must be able to
use the nursing process to create three nursing care plans that will improve their patient’s' care and
well-being.
Attitude
This obstetric rotation should assist student nurses in self-development and character development.
When caring for women and children, they must be able to adhere to the nursing core values executing
nursing responsibilities. They must be able to build trust and rapport with their patients and
communicate effectively. The student nurses must be able to ensure a trusting, respectful, and
collaborative working relationship with the client, support systems, and all the inter-, intra- multi-
disciplinary, and multi-cultural teams working in Maria Reyna-Xavier University Hospital (MRXUH). They
should express ongoing competence, development, and a willingness to learn to pursue a lifelong
learning in order to stay current on national and global developments in motherhood and childcare.
II. SPECIFIC OBJECTIVES
To be able to achieve the objectives, the student nurses need to perform certain specific actions to
reach their specific general goals or objectives. Therefore, At the end of this obstetric case study, the
student nurses from Block B - RLE Group 1 of the academic year 2022 - 2023 will be able to:
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
With the help of this case study, the student nurses should be able to apply the theories, guidelines, and
skills learned in maternal and child health nursing to health promotion, health restoration, health
maintenance, and rehabilitation. Furthermore, it is expected that student nurses will gain a better
clinical understanding in terms of the concepts on cesarean births and its implications, postpartum
recovery, and postpartum stress. The rationale, indications, contraindications, adverse effects, and
pharmacokinetic and pharmacodynamic characteristics of the pharmaceuticals in the case study should
be internalized and familiarized by the student nurse. Additionally, the student nurses must be able to
use the nursing process to create three nursing care plans that will improve their patient’s' care and
well-being.
Attitude
This obstetric rotation should assist student nurses in self-development and character development.
When caring for women and children, they must be able to adhere to the nursing core values executing
nursing responsibilities. They must be able to build trust and rapport with their patients and
communicate effectively. The student nurses must be able to ensure a trusting, respectful, and
collaborative working relationship with the client, support systems, and all the inter-, intra- multi-
disciplinary, and multi-cultural teams working in Maria Reyna-Xavier University Hospital (MRXUH). They
should express ongoing competence, development, and a willingness to learn to pursue a lifelong
learning in order to stay current on national and global developments in motherhood and childcare.
II. SPECIFIC OBJECTIVES
To be able to achieve the objectives, the student nurses need to perform certain specific actions to
reach their specific general goals or objectives. Therefore, At the end of this obstetric case study, the
student nurses from Block B - RLE Group 1 of the academic year 2022 - 2023 will be able to:
