NEWBORN CORD ASSESSMENT CASE STUDY

PN3006 – INTEGRATED NURSING 3

TO TEACH TO GUIDE TO LEARN

Instructions
Read and analyze this case study individually. When the others in your group have finished reading it,
answer the case study questions. Consider the steps in clinical decision-making as you answer the
questions. The other groups in the room are working on the same or a similar case study. When all
groups have finished, we will discuss the case studies and the answers each group developed.

Client Profile
Mrs. Andrews is 30 years of age. She attended the antenatal clinic 2 weeks ago and has now come to the
hospital with her mother-in-law because labor pains started 4 hours ago. Mrs. Andrews reports that the
pains start in her back and move forward, last 20 seconds, and occur about every 10 minutes. Mrs.
Andrews appears very anxious and is not able to sit still in her chair. Her mother-in-law is talking quite
rapidly and it is difficult for you to speak to the daughter-in-law.

Pre-Assessment
1. Before beginning your assessment, what should you do for and ask Mrs. Andrews?

2. What history will you include in your assessment of Mrs. Andrews and why?

3. What physical examination will you include in your assessment of Mrs. Andrews and why?

4. What laboratory tests will you include in your assessment of Mrs. Andrews and why?

**You have completed your assessment of Mrs. A and your main findings include the following:

History
Mrs. Andrews is 39 weeks pregnant. This is her second pregnancy. Her first pregnancy and birth were
uncomplicated, although she repeatedly states that labor was more painful than she had expected. She
confirms that labor started 3 hours ago and that contractions seem to be growing increasingly longer and
more frequent. All other aspects of her history are normal or without significance.

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