UNIVERSITY OF SANTO TOMAS

COLLEGE OF NURSING
S.Y. 2019-2020

Case Study

Submitted by:
Gongora, Venice Marie G.
Gonsalves, Regina Ann J.
Gonzales, Genica DG.
Sanchez, Joseph Matthew
Santos, Camille
Santos, Dana Angeli M.
Santos, Maxwell
Saringan, Shannen Raiza B.

Submitted to:
Ms. Lisette T. Navarro

I. History Commented [1]: Hello. anong ilalagay ditey?

And yung ptient ba natin yung kanina or yung dati?
 II. Thorough Detailed Assessment

III. Course in the Ward

Patient admitted, placed on none per orem, laboratory exam requested delivered
via normal spontaneous delivery a live baby. Encouraged breastfeeding, started oral
medication. Vital signs monitored. OB Ward stay unremarkable. Allowed to go home with
stable vital signs. Take home medications prescribed. Schedu
Scheduled for OB follow up. Advised personal hygiene.
IV. Review of Systems

V. Medical Diagnosis

VI. Medical Management

VII. NCP (at least 5)

Assessment Diagnosis Analysis Planning Intervention Rationale References Evaluation

●Subjective Risk for

infection
related to
early
rupture of
membran
e
VIII. Discharge Plan