[Solved]: CASE STUDIES CASE STUDY 1: CHILDBIRTH ASSESSMENT AND…

CASE STUDIES CASE STUDY 1: CHILDBIRTH ASSESSMENT AND CARE DIRECTIONS Read and analyze this case study then answer the case study questions. Consider the steps in clinical decisionmaking as you answer the questions. We will discuss the case studies and the answers next clinical. CLIENT PROFILE Sally is 30 years of age. She had an appointment at the prenatal clinic 2 weeks ago and has now come to the hospital with her support person, Jack, because labor pains started 3 hours ago. Sally reports that the pains start in her back and moves forward, last 20 seconds, and occur about every 8 minutes. Sally appears very anxious. PRE-ASSESSMENT Before beginning your assessment, what should you do for and ask Sally and Jack? ASSSESSMENT (information gathering through history, physical examination, and testing) What history will you include in your assessment of Sally and why? What physical examination will you include in your assessment of Sally and why? What laboratory tests will you include in your assessment of Sally and why? DIAGNOSIS (interpreting information to identify problems/needs) You have completed your assessment of Sally and your main findings include the following: History: Sally 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. Physical Examination: Sally squats to the floor and cries out with each contraction. On measurement of vital signs: Respirations are 18 per minute,