Maternity case studies for nursing students

Case Studies, Chapter 16, Nursing Management During the Postpartum Period 1. You are caring for Bonnie, age 42, who has just undergone a cesarean birth for her first baby. You are responsible for monitoring her condition during recovery and for teaching her how to take care of herself and her baby. (Learning Objectives 1, 2, 3, 4, and 7) A. You note that Bonnie has a positive Homans’ sign in the left leg. What are the risk factors for thromboembolic disorders, and how will you determine if she has a DVT? If Bonnie has a DVT, what else is she at risk for? B. Bonnie is ready for discharge and asks you about bleeding, perineal care, and what she should eat while breast-feeding. What are you going to teach her? C. Bonnie, the baby, and Bonnie’s husband are following up for newborn care. What nursing interventions should be included to promote parental role adaptation and parent– newborn attachment? 2. You have just received report on the following patient. Hannah G1P1 gave birth vaginally 2 days ago to a baby girl. She had a midline episiotomy and has protruding hemorrhoids. Hannah is rubella negative and has A– blood type and her daughter is O+. Hannah is breast-feeding her daughter. Hannah is expected to be discharged to home later this afternoon. (Learning Objectives 5 and 7) A. Describe the nursing management for Hannah and her family during the postpartum time period. B. Hannah and Justin are preparing for discharge. What areas of health education are needed for discharge planning, home care, and follow-up visits for Hannah and her baby girl? Case Studies, Chapter 22, Nursing Management of the Postpartum Woman at Risk 1. Amy calls the office 3 days after delivering a healthy baby girl and tells you she is passing small clots and feels like her bleeding is heavier than it should be. You advise Amy to come into the clinic to be checked. (Learning Objectives 1, 2, 3, and 6) A. What are the “four T's” that need to be assessed in a possible case of postpartum hemorrhage? B. Amy also tearfully tells you that she is experiencing anxiety and feelings of being overwhelmed. What is she experiencing, and what education are you going to provide? 2. Alyssa, age 26, had a cesarean delivery 7 days ago and is breast-feeding her baby. She calls the office today and reports that she has a temperature of 102. (Learning Objective 5) A. Given the limited information you have, describe the four most likely types of infection Alyssa may have contracted. B. What additional questions do you want to ask her to try to ascertain the cause of her fever? C. Describe the care required to treat each of these infections. Case Studies, Chapter 22, Nursing Management of the Postpartum Woman at Risk 1. Amy calls the office 3 days after delivering a healthy baby girl and tells you she is passing small clots and feels like her bleeding is heavier than it should be. You advise Amy to come into the clinic to be checked.