solved

Question
Answered step-by-step
Asked by siddhi2319

Roquanda is a 24 yo, G4P3003. Her oldest child is 3 1/2 yo. She delivered a 9 pound 12 ounce baby boy following an 18 hour Pitocin augmented labor with epidural anesthesia this morning. Her second stage was two hours. She was given a medio-lateral episiotomy, and the baby’s head was delivered by vacuum extractor after she experienced difficulty pushing. Her estimated blood loss was 400 ml right after delivery. Immediately after delivery her VS were BP 110/70, temp 98, pulse 80 and respirations 20. She plans to bottle feed.  When she first arrived to L&D her VS were BP 125/80, temp 98.7, pulse 65 and respirations 20.

 

It is now two hours later and she has just been transferred to your care on the postpartum unit with an IV of lactated ringers, which is to be discontinued when it is finished. Upon assessing her, you note that she is trickling blood from the vagina and has soaked a pad about 30-40 minutes after she changes it. Her vital signs are BP 90/68, pulse 105 and respirations 28. She appears restless.

 

Questions for discussion: 

What additional assessments would you need to do?
What will be your next action for Roquanda? 
What are the history factors that increase her risk for post-partum hemorrhage?
SCIENCE
HEALTH SCIENCE
NURSING
NURS 3020