Group 1-B

CHAPTER 24
Nursing Care of a Family During a
Surgical Interventin for Birth
case introduction
 case scenario

Title and Author of the Book

Use this space to write down the title of
the book and the name of the author.

Publishing Year of the Book

Use this space to write down the title of
the book and the name of the author.
objectives
definition of
cases

TIME FRAME LOCATION

Time frame refers to a Location refers to a
specified period of time in specified place in which
which the story occurs. the story occurs.
current trends
and update
related topics
 The Sequence
of Events

Exposition Conflict
Exposition is the introductory Conflict is the main problem in
portion of a story that includes a story that results in
setting, characters, and backstory. challenge and opposition.
 The Rising Action
and CLimax

The rising action of a story is all the

events that lead to the climax,
which is the turning point for the
story's plot.
The Falling Action
and Resolution

The falling action of a story is the

part of the plot that follows the
climax, in which the conflict of the
story resolves.
assessment
 nursing related
theory
A plot summary is a brief description of a story that explains what happens in the
story. The summary should describe the sequence of events that lead to the
conflict resolution. It also identifies important characters and describes the major
events of the story. It is usually written no more than one paragraph long. In
writing a plot summary, the title of the book and the author should be referred to.
 PHYSICAL CHARACTERISTICS

major concept Use this space to describe the

character's physical appearance.
of theory
PERSONALITY TRAITS

Use this space to describe the

character's personality traits.

EFFECTS ON THE PLOT

Use this space to describe how the

character affects the plot.
PHYSICAL CHARACTERISTICS

Use this space to describe the biographical

character's physical appearance.
data
PERSONALITY TRAITS

Use this space to describe the

character's personality traits.

EFFECTS ON THE PLOT

Use this space to describe how the

character affects the plot.
 SCENE FROM THE BOOK
history of present THAT SUPPORTS THIS
health concern
Use this space to mention a scene from
(COLDSPA the book that describes the major theme
of the story.

RELEVANT QUOTES IMPACT OF THE

FROM THE CHARACTERS THEME ON ME

Use this space to mention relevant quotes Use this space to mention the impact of
from the characters in the story. the theme on you.
 Lesson 1:
Personal Health
history

Lesson 2:

Lesson 3:
 Lesson 1:

family history

Lesson 2:

Lesson 3:
 Lesson 1:
lifestyle and health
practices

Lesson 2:

Lesson 3:
 physical exam
findings
A plot summary is a brief description of a story that explains what happens in the
story. The summary should describe the sequence of events that lead to the
conflict resolution. It also identifies important characters and describes the major
events of the story. It is usually written no more than one paragraph long. In
writing a plot summary, the title of the book and the author should be referred to.
Couarse in the
Ward
Melody M. Doria
 objective:

assessment
Patient has come for her
preoperative blood work
Patient appears tense and nervous
Patient is obese
objective:

Patient had frequent yeast infections

she treats herself with over-the-
counter fungicide suppositories
Patient appears tense and agitated
has slight swelling of gumline
 Genitourinary: Frequent yeast infections, she
diagnostic/ treats herself with over-the-counter fungicide
suppositories
laboratory
Extermities: Slight swelling of ankles since 30th of
pregnancy
BP: 127/77 mmHg
HR: 90 beats/min
RR: 22 breaths/min
FHR: 140-150 beats/min
Hemoglobin: 11.2 g/dl
Hematocrit: 33%
Urinalysis: Negative for protein and glucose;
specific gravity: 1.030
medical/surgical
intervention
INTERVENTION: patient
Provide emotional support
because she was so surprised.
appears tense
Describe the procedure to the and nervous
patient

RATIONALE:
In situations of great stress,
physical and/or emotional, the
client may not accurately
assess occurrences leading to
the present situation.
 Patient has Slight
swelling of ankles since
30th of pregnancy INTERVENTION:
=Assess patient's legs

RATIONALE:
to check for possible health
problem; Thrombophlebitis
 patient is scheduled
INTERVENTION: for an elective
caesarian birth
Assess Fetal heart rate,
maternal blood pressure,
maternal anxiety level

RATIONALE:
to determine baseline data
 INTERVENTION:
Provide a pre-operative teaching based
provde a pre-operative
on the QSEN competency for safety
teaching to the patient a. The technique for doing periodic deep
breathing exercises
b. Reasons for using an incentive spirometer
should be used postoperativel
c. Ways of maximizing her food intake
postoperatively

RATIONALE:
-to help the patient prevent
postcesarean birth complications
medications/
treatment SODIUM CITRATE
(BICITRA)
helps make urine less
acidic
RATIONALE:
This medicine helps to
neutralize stomach acid
during surgery.
 REFERRAL

Obstetric Midwife
deals with all aspects of a health professional who
pregnancy, from prenatal care to cares for mothers and
post-natal care newborns around childbirth
PATHOPHYSIOLOGY
Teacher Isabel's English Class
 Bibliographical
Information

Title and Author of the Book

Use this space to write down the title of
the book and the name of the author.

Publishing Year of the Book

Use this space to write down the title of
the book and the name of the author.
Setting of
the story

TIME FRAME LOCATION

Time frame refers to a Location refers to a
specified period of time in specified place in which
which the story occurs. the story occurs.
 The Sequence
of Events

Exposition Conflict
Exposition is the introductory Conflict is the main problem in
portion of a story that includes a story that results in
setting, characters, and backstory. challenge and opposition.
 The Rising Action
and CLimax

The rising action of a story is all the

events that lead to the climax,
which is the turning point for the
story's plot.
The Falling Action
and Resolution

The falling action of a story is the

part of the plot that follows the
climax, in which the conflict of the
story resolves.
 Plot Summary

A plot summary is a brief description of a story that explains what happens in the
story. The summary should describe the sequence of events that lead to the
conflict resolution. It also identifies important characters and describes the major
events of the story. It is usually written no more than one paragraph long. In
writing a plot summary, the title of the book and the author should be referred to.
nursing care
plan
 IMPAIRED PHYSICAL MOBILITY RELATED TO
MUSCLE CONTROL OR UNSTABLE BALANCE

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION EVALUATION

She broke her leg Impaired physical Within 8 hours of
in a fall last mobility related nursing intervention
month so uses a to muscle and treatment, the
wheelchair for control or patient will determine
ambulation. unstable balance the factors that
increase their risk for
injury and will
demonstrate
She was stripped behaviors to avoid
over a throw rug injury.
1 month ago; she
was seen in ER Within 4 hours of
for broken tibia nursing interventions
and teaching, the
patient will remain
free of injuries.
Ask family or Within 8 hours of
significant others to nursing intervention
be with the patient to and treatment, the
prevent the incidence patient determined the
of accidental falling factors that increase
Validate the patient’s their risk for injury
feelings and concerns and will demonstrate
related to behaviors to avoid
environmental risks. injury.
Within 4 hours of
nursing interventions
and teaching, the
patient remains free of
injuries.
 IMPAIRED PHYSICAL MOBILITY RELATED TO
MUSCLE CONTROL OR UNSTABLE BALANCE

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION EVALUATION

She broke her leg Impaired physical Within 8 hours of
in a fall last mobility related nursing intervention
month so uses a to muscle and treatment, the
wheelchair for control or patient will determine
ambulation. unstable balance the factors that
increase their risk for
injury and will
demonstrate
She was stripped behaviors to avoid
over a throw rug injury.
1 month ago; she
was seen in ER Within 4 hours of
for broken tibia nursing interventions
and teaching, the
patient will remain
free of injuries.
Ask family or Within 8 hours of
significant others to nursing intervention
be with the patient to and treatment, the
prevent the incidence patient determined the
of accidental falling factors that increase
Validate the patient’s their risk for injury
feelings and concerns and will demonstrate
related to behaviors to avoid
environmental risks. injury.
Within 4 hours of
nursing interventions
and teaching, the
patient remains free of
injuries.
 Diagnostic and
Laboratory Studies
Teacher Isabel's English Class
 RESULT WITH INTERPRETATION
TEST RESULT NORMAL RANGE INTERPRETATION
- Pregnant women with
hemoglobin that has 8 - 10
g/dl are considered to
have a mild anemia. Clients
Hemoglobin 9 g/dl 11.5-13.0 g/dl can have an increased risk
of a low-birthweight baby.
Having a low hemoglobin
can increase the problem
of tissue perfusion in the
placenta.
 RESULT WITH INTERPRETATION
TEST RESULT NORMAL RANGE INTERPRETATION
- Pregnant women with
hemoglobin that has 8 - 10
g/dl are considered to
have a mild anemia. Clients
Hemoglobin 9 g/dl 11.5-13.0 g/dl can have an increased risk
of a low-birthweight baby.
Having a low hemoglobin
can increase the problem
of tissue perfusion in the
placenta.
drug study
 Drug Action Indication

- Acts on the descending loop

Furosemide of henle in the kidney: inhibiting
- Indicated for the treatment
reabsorption of electrolytes
of Edema on congestive heart
sodium and chloride, causing
failure
excretion of sodium, calcium,
magnesium , chloride water
and some potassium.

Contraindication Side effect/Adverse

reaction
- Contraindicated
headache
in patients hypersensitive to drug and those
vertigo
with anuria.
dizziness
- Use cautiously in patients with hepatic
orthostatic
cirrhosis and in those allergic to sulfonamides.
hypotension
Use during pregnancy only if potential benefits
abdominal discomfort and pain
to the mother clearly outweigh risks to the diarrhea
fetus.
NURSING CONSIDERATIONS
- Observe 10 rights in giving medication
- Test if the patient is allergic to the drug.
- To prevent nocturia, give PO and IM preparations in the morning.
Give a second dose in the early afternoon.
- Monitor weight, blood pressure, and pulse rate routinely with long
term use and during rapid dieresis. Use can lead to profound water and
electrolyte depletion.
- If oliguria or azotemia develops or increases, drugs may need to be
stopped.
- Monitor fluid intake and output and electrolyte, BUN, and carbon
dioxide levels.
- Watch for signs of hypokalemia, such as muscle weakness and cramps.
DISCHARGE PLANNING AND
HEALTH TEACHING FOR
THE FAMILY
Teacher Isabel's English Class
 Medications

Exposition Conflict
Exposition is the introductory Conflict is the main problem in
portion of a story that includes a story that results in
setting, characters, and backstory. challenge and opposition.
Environmental
Management

TIME FRAME LOCATION

Time frame refers to a Location refers to a
specified period of time in specified place in which
which the story occurs. the story occurs.
 TREATMENT

A plot summary is a brief description of a story that explains what happens in the
story. The summary should describe the sequence of events that lead to the
conflict resolution. It also identifies important characters and describes the major
events of the story. It is usually written no more than one paragraph long. In
writing a plot summary, the title of the book and the author should be referred to.
 PHYSICAL CHARACTERISTICS

Use this space to describe the

health education character's physical appearance.

PERSONALITY TRAITS

Use this space to describe the

character's personality traits.

EFFECTS ON THE PLOT

Use this space to describe how the

character affects the plot.
PHYSICAL CHARACTERISTICS

Use this space to describe the

character's physical appearance. activity & rest

PERSONALITY TRAITS

Use this space to describe the

character's personality traits.

EFFECTS ON THE PLOT

Use this space to describe how the

character affects the plot.
 SCENE FROM THE BOOK
THAT SUPPORTS THIS
exercise
Use this space to mention a scene from
the book that describes the major theme
of the story.

RELEVANT QUOTES IMPACT OF THE

FROM THE CHARACTERS THEME ON ME

Use this space to mention relevant quotes Use this space to mention the impact of
from the characters in the story. the theme on you.
 Lesson 1:
spiritual and
emotional care

Lesson 2:

Lesson 3:
 outpatient referral
and follow-up
appintments
Title and Author of the Book
Use this space to write down the title of
the book and the name of the author.

Publishing Year of the Book

Use this space to write down the title of
the book and the name of the author.
DIet/nutrition
thank you!