The College of Maasin

“Nisi Dominus Frustra”

Maasin City, Southern Leyte

Case Progress
SN Assigned : ABIERA
RESUS
GOMEZ
Patient was seen to be fully awake and coherent. Able to ambulate within short distance from bed to
bedside table and is on liquid diet. During the physician’s morning rounds, diet was changed to soft.
Lochia rubra was still noted to be in moderate amounts. With dry and intact sterile dressing. Afebrile and
with normal BP, PR, RR and O2 sat. From time to time the patient suddenly sobs and expresses extreme
sadness due to the loss of the baby. IVTT medications were discontinued and was changed to Co-
Amoxiclav 625mg q6h p.o.; Mefenamic Acid 500 mg p.o. PRN for pain, Paracetamol 500 mg q4h for
Temperature of 38°C & above and FeSo4 1 capsule O.D. pc.

1. Based on the patient’s history, what might be the cause of the intrauterine death?
The mother was discovered not to be immune to rubella
The mother also has a high Blood pressure and also the baby is on breech position,
there is a higher risk for the baby to get stuck in the birth canal and for the baby’s oxygen supply
through the umbilical cord to get cut off
Reduce fetal movement

2. Identify other possible causes of IUFD.

Fetus is breech on examination
High blood pressure
Rupturing her uterus
Reduce fetal movement
3. What might be the cause of the patient’s tachycardia upon admission?
ANSWER:

 Difficulty breathing
 Heart palpitations, rapid heart rate or irregular pulse
 Chest pain

4. What are booking bloods in pregnancy?

ANSWER: These are referred to commonly as "booking" blood tests. Typically, the GP will
schedule the tests in advance of your initial appointment to the obstetrician. Each test was
chosen because it will detect a problem that could risk the pregnancy. These tests are a crucial
part of preparing for a healthy pregnancy.

5. What complications are seen if the baby will not be delivered immediately?
6. As the nurse assigned to E.B, you help the couple to discuss the loss and funeral plans.
7. Identify 3 priority nursing diagnosis and make a nursing care plan.
8. Drug study for the medications given during this phase of hospitalization.