Please read the following case study details. Then answer the questions below.
Setting
You are a nurse caring for women on the post-partum floor. Kristen was admitted to the floor an hour ago right before change of shift.
Introduction
Kristen gave birth to a 6lb4oz little boy named Sawyer. She had a vaginal delivery complicated by the umbilical chord being wrapped around the infant’s neck. Midline episiotomy was done with extension to deliver the infant quickly due to fetal heart tones and narrow pelvic inlet. 3rd degree laceration. Father of baby not involved at this time and awaiting pending paternity results. Patient’s mother at beside for support. Kristen states she wants to try an breastfeed, but is scared of it hurting.
Chief Complaint
Patient hit call light for nurse, stating “I feel some pressure like I need to push again. Can someone help me up to the bathroom?”
Medical History
Chicken pox as a child. UTD on all immunizations. Tonsils removed 2013.
DOB: 12/31/2005NKDABlood type: O negativeRubella: Non-ImmuneHIV: NegativeHSV: DeniesHepatitis: NegativeHeight: 5’7Weight: 170 lbs. First day of LMP: 6/13/2002
G-1 T-0 P-1 A-0 L-1 G-1 P-1Vaginal Delivery: 35 weeks 2 days APGARS: 1 MIN: 7, 5MIN: 9(1 off for breathing, 2 off for color)
Fundus firm, 1 aboveMild to moderate bleedingNo bowel movements 500 cc’s output post delivery in L&D via straight cath. Patient has yet to ambulate to bathroom to void. Nipples sore per patient, no cracks or fissures noted
Questions
Please be sure to validate your opinions and ideas with citations and references in APA format.