Breastfeeding Newborn RAPID Reasoning Amanda Stevens, 26 years old and baby Grace
Amanda Stevens, 26 years old and baby Grace
Primary
... [Show More] Concept
Reproduction Interrelated Concepts (In order of emphasis)
•
Pain
•
Patient Education
•
Clinical Judgment NCLEX Client Need Categories Percentage of Items from Each Category/Subcategory Covered in Case Study
Safe and Effective Care Environment
•
Management of Care
17-23%
✓
•
Safety and Infection Control
9-15%
Health Promotion and Maintenance
6-12%
✓
Psychosocial Integrity
6-12%
✓
Physiological Integrity
•
Basic Care and Comfort
6-12%
✓
•
Pharmacological and Parenteral Therapies
12-18%
✓
•
Reduction of Risk Potential
9-15%
✓
•
Physiological Adaptation
11-17%
✓
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History of Present Problem:
Amanda Stevens is a 26-year-old female, G1 P1, accompanied by her husband, Brad. She presented to the maternity unit complaining of contractions every five minutes for the past three hours. She was dilated to 6 cm, 50% effaced, -2 station and admitted for labor. Brad was very supportive throughout her labor. She received an epidural for pain control and delivered by spontaneous vaginal delivery (SVD) a baby girl 12 hours later at 39 5/7 weeks gestation. Amanda’s blood type is A+ and is Group B strep (GBS) negative.
Baby Grace was 7 pounds 8 ounces (3.4 kg), 20 inches (50.8 cm) long with APGARS of 9 at one minute and 9 at 5 minutes. Delayed cord clamping for one minute occurred and then she immediately went to breast and latched with minimal assist and nursed for ten minutes. Initial newborn assessment was completed with no abnormal findings. Her vital signs at birth were HR: 158, R: 54 T: 98.1 F/36.7 C axillary.
Personal/Social History:
Amanda and Brad have been married for two years and live 15 miles from the hospital in a small, rural community. Brad is a security guard at a prison located 30 miles from home and Amanda is a preschool teacher for the local preschool in her town. She will be taking eight weeks off from work before returning full [Show Less]