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Nursing Care Plan Home Work
Nursing Care Plan Home Work
Barbie Girl is a 16 year old G1P0 (0000) , 20 weeks in AOG patient who is admitted to the OB
Ward with the chief complaint of vaginal bleeding.
“ Ito po ang unang pagbubuntis ko, nag umpisa ko po na mapansin na may dugo sa panty ko
noong naglaba ako at nakapag buhat ng mabigat. Bigla pong sumakit ang tyan at balakang ko
noon at naramdaman ko na parang may lumalabas na dugo sa akin” As verbalized by the patient.
“ Classmate ko po ang boyfriend ko, nagpapatuloy sya sa pag-aaral at ako naman po ay nag
decide na pansamantalang tumigil muna dahil nahihiya po ako sa nangyari sa akin” “ Dinadalaw
nya po ako tuwing weekends para dalahan ako ng mga prutas at samahan ako sa check-up
paminsan-minsan na kasama din ang mama nya”
Final diagnosis revealed : 16 year old Pregnant Uterine, G1P0 (0000) , 20 weeks AOG ,Premature
Labor
Signs and symptoms present to her are: Constant low, dull backache, a sensation of pelvic and
lower abdominal pressure, mild abdominal cramps, Light vaginal bleeding.
Vital signs: Temperature: 36.4, Pulse- 96, RR- 21, BP- 90/60
Labs:
Pelvic Ultrasound reveals fetus still intact but with vaginal spotting for two days .
Doctors Orders:
Meds: Duvadilan 10mg/tab, 2 tabs stat dose then TID for 7 days.
VS Monitoring Q2
Refer Accordingly.