How will you prepare for this delivery as director of care

Assignment Help Science

Reference no: EM133461507

Assignment:

Maternal presentation prior to delivery

This is a 27y.o. Gravida 1 para 0 mother at 41 1/7 weeks gestation. Maternal history complicated for: 1) post dates induction, 2) Transfer of care from Queen Street Family Health for (+) HSV outbreak & concerns for possible C-Sec (recurrent), last outbreak 4 weeks prior treated with valtrex last dose 3 days ago, 3) examination 3 days ago without lesions, decision to have trial of labor with induction, 4) GBS (+), 5) Rh (-), 6) prolonged PROM x 26 hours, 7) concerns for chorioamnionitis, 8) maternal temp. 38.1ºC ( 100.6ºF), 9) fetal scalp electrode, 10) variables with fetal brady & good beat to beat variability, 11) allergy to penicillin, treated with ancef & gentamicin (gent. added for chorio. concerns), 12) IUPC (intrauterine pressure catheter), 13) cervical Foley

Maternal medications in pregnancy: Rhogam, Ancef, gentamicin, penicillin x1 dose then developed hives, clindamycin x2 doses PTD, misoprostol, pitocin, benadryl, nubain, Tylenol x1, epidural & pre-natal vitamins with folic acid & valtrex.

Pre natal labs: maternal blood type A (-), antibody (-), rubella-immune, RPR-non reactive, HepBsAg (-), GBS (+), glucola 92, platelet count 309k, GC & Chlamydia

(-), varicella (immune), HIV (-).

Differential Diagnoses List

-What in the maternal history puts this infant at risk for health disruptions at the time of delivery?

-How will you prepare for this delivery as the director of care?

-How do you think this infant may present?

Reference no: EM133461507

Questions Cloud

What are some of the researched benefits of group work : What are some of the researched benefits of group work for this population/issue?

How are you developing yourself to be proficient : Why do you think there are so few people who succeed at both management and leadership? Is it reasonable to believe someone can be good at both?

How does the killing rage and the color of law tie : How does the "Killing Rage" and "The Color of law" tie into the United States and their issues of racism, sexism, and those with disabilities.

Identify the goals of counseling : Identify and list the goals of counseling. Why it is important to set goals during the counseling process, and the importance of counseling juveniles.

How will you prepare for this delivery as director of care : How will you prepare for this delivery as the director of care? How do you think this infant may present?

What is a consulting process and what is the purpose : What is a consulting process and what is the purpose? What are some examples of a consulting process and when are they used? Which elements are critical

Describe the purpose of the bail system : Prosecutors are now often considered the most powerful actor in the criminal justice system. Why? Use the concept of prosecutorial discretion to explain

How have multigenerational families changed over the past : How have multigenerational families changed over the past few centuries in the United States? what are the pros and cons of multigenerational shared housing

How are these efforts similar to and different from methods : How are these efforts similar to and different from the methods used to prevent or mitigate routine criminal activity? What are the benefits and limitations

User Account

All Pages