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Nursing Case Study C Section
Nursing Case Study C Section
CAESARIAN SECTION
I. DEMOGRAPHIC DATA
Name: A.G.M
Gender: Female
Civil Status:
Married
Address: Bacoor, Cavite
Age: 40 years old
Birthdate: September 26, 1969
Birthplace: Imus, Cavite
Religion: Roman Catholic
Occupation: Housewife
Diagnosis: Elderly Gravida, PU 39-40 wks AOG
(Low Lying Placenta Frank Breech)
Operation Performed: Low Transverse Caesarian Section
Post:
Label the
container
properly and
correctly.
Send specimen to
the lab
immediately.
Document the
result to the
chart and inform
Actual Normal Nursing
Procedure / Date Implications
Findings Findings Responsibilities
physician that
the result is out.
URINE ANALYSIS
Microscopic Exam Chemical Exam
CAESARIAN SECTION
V. PREPARATION
POSITIONING
CATHETER INSERTION
APPLICATION OF DRAPES
ANESTHESIA
INCISION SITE
The patient is placed on a supine position exposing the
abdominal area. Sterile gloves are donned using the open glove
method before performing the procedure. The operative site is
cleansed with the use of cleanser (3 times), wet OS (3 times) and
then changed the gloves before applying the antiseptic (3 times).
Beginning at the incision site, the area will include posterior
breast as the upper margin, the axillary line as lateral margins
and to the anterior two thirds of the legs as posterior margin.
Cleaning would always include use of firm circular motion leaving
no spaces unwiped.
VII. PROCEDURES
• Client was place in supine position with contraptions noted and
checked by anesthesiologist.
• Skin preparation of the induction site of anesthetic agents
• Induction of anesthesia, either spinal or epidural and sometimes
general anesthesia
• Abdominal skin preparation to be done
• Application of drapes, eye sheet, laparotomy sheet
• Sequential incision begins: the skin, subcutaneous, peritoneum
penetrating to the uterus
• Delivery of the baby
• Delivery of the placenta
• Sequential closing using appropriate absorbable sutures
• Hemostasis secured, peritoneal wash done
• Initials OS, instruments and needles completed
Our overview of the reproductive system begins at the external genital area
— or vulva—which runs from the pubic area downward to the rectum. Two folds of
fatty, fleshy tissue surround the entrance to the vagina and the urinary opening:
the labia majora, or outer folds, and the labia minora, or inner folds, located
under the labia majora. The clitoris, is a relatively short organ (less than one inch
long), shielded by a hood of flesh. When stimulated sexually, the clitoris can
become erect like a man's penis. The hymen, a thin membrane protecting the
entrance of the vagina, stretches when you insert a tampon or have intercourse.
INTERNAL REPRODUCTIVE STRUCTURE
The Vagina
The Cervix
The vagina ends at the cervix, the lower portion or neck of the uterus.
Like the vagina, the cervix has dual reproductive functions.
After intercourse, sperm ejaculated in the vagina pass through the
cervix, then proceed through the uterus to the fallopian tubes where, if a
sperm encounters an ovum (egg), conception occurs. The cervix is lined with
mucus, the quality and quantity of which is governed by monthly fluctuations in
the levels of the two principle sex hormones, estrogen and progesterone.
When estrogen levels are low, the mucus tends to be thick and sparse,
which makes it difficult for sperm to reach the fallopian tubes. But when an
egg is ready for fertilization and estrogen levels are high the mucus then
becomes thin and slippery, offering a much more friendly environment to
sperm as they struggle towards their goal. (This phenomenon is employed by
birth control pills, shots and implants. One of the ways they prevent
conception is to render the cervical mucus thick, sparse, and hostile to sperm.)
Uterus
Oviducts
The Fallopian tubes or oviducts are two very fine tubes leading from the
ovaries of female mammals into the uterus.
Ovaries
The ovaries are the place inside the female body where ova or eggs are
produced. The process by which the ovum is released is called ovulation. The
speed of ovulation is periodic and impacts directly to the length of a menstrual
cycle.
The Fallopian tubes are often called the oviducts and they have small
hairs (cilia) to help the egg cell travel.