Abruptio Placentae Withpreterm Labor And Deliveryunfolding Reasoning

Abruptio Placentae withPreterm Labor and DeliveryUNFOLDING ReasoningMichelle Moore, 38 years oldPrimary ConceptPerfusionInterrelated Concepts (In order of emphasis)1. Reproduction2. Oxygenation3. Pain4. Clinical Judgment5. Patient Education6. Communication7. Collaboration 2019 Keith Rischer/ www.KeithRN.comUNFOLDING Reasoning Case Study: ANSWER KEYAbruptio Placentae with Preterm Labor and DeliveryHistory of Present Problem:Michelle Moore is a 38-year-old who is 29 weeks pregnant. She began prenatal care at 18 weeks gestation because she was waiting to become insured. She is currently in the Labor and Delivery Unit of the hospital following a call to her primary care provider. She reported that she had a sudden onset of constant severe uterine pain and began to notice that she had vaginal bleeding that bright red, soaked a maxi pad and then began soaking through her underwear. Her baby hasnot been moving as actively as normal since the pain and bleeding started.Personal/Social History:Michelle works at a fast-food restaurant, standing on her feet for long hours. She usually works in the evenings and weekends. She is estranged from the father of the baby. Michelles father is able to help her with childcare once or twice a week. Michelle denies substance use including alcohol during her pregnancy. Michelle smokes 10 cigarettes daily, and says that