The patient is a 17 year old female who arrives to the emergency department in active...

The patient is a 17 year old female who arrives to the emergency department in active labor with a questionable past of obstetrical history. she indicates that she has had no prenatal care, does not remember her last menstruation period and is evasive if this is her first pregnancy. Blood work indicates she is Rh negative.

A) What are some concerns you as her nurse should be prepared for?

B) What teaching does this patient need?

C) What are the expected outcomes for this patients?

Solutions

Expert Solution

As her nurse I am afraid that the pregnancy affects her as well as the health of the baby. This include :

Risk for baby :

Low birth weight
Prematurity
Infant mortality
Intra uterine growth restriction
Haemolytic disease of newborn(due to Rh incompatibility)

Risk for mother :

Preeclampsia and it's complication
Anemia
Combination during child birth due to cephalo pelvic disproportion.
Isolation and depression
Chance for cesarean section.
Mental and financial difficulty.

B) Teachings required :

what changes she can expect in her body
Chronic conditions like hypertension that can develop
Importance of nutrients and healthy diet
Drink water more often.

Steps to take care of baby :

Exclusive breastfeeding
Looking out for complications like not feeding properly, abnormal cry, apnea etc
Proper energy and protein requirements.

C) Expected outcomes :

Anti rh antibody administered before giving birth avoids hemolytic disease.
Client will take adequate amounts of nutrients for the well being of the baby and herself.
No danger signs in newborn and exclusive breastfeeding starts within 3 days
Baby gains normal weight within 3 months.

Nightingale answered 3 months ago

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