Use the patient information below to create a concept map as the one in the files names student concept map example. Use the Tanner Model Example and the OB Concept map (parts that are bolded in red) to create a concept map. For the clinical judgements below, all should include their own clinical judgement models and each should have a tanner model to itself. Each clinical judgement should include the following questions…Why does it matter?, What could it mean?, where do I start, what can I do?, what will I do?, Did it help. Everything including definitions have to be cited in APA format. All vital signs and labs need an explanation. Do not write “within normal limits”. If labs are normal, explain. The entire concept map has to be 20 pages total including running head. No information about baby, only if the condition affects the baby. This paper should be in APA format without double-space. It should look exactly like the student concept map example. Please no plagiarism, this assignment will be submitted into Turnitin.com to check for plagiarism. The plagiarism score needs to be below 30%.

Patient E.U.

DOB: 9/15/1995 (26 year old female)

Chief complaint: Contractions

Admitting Diagnosis: Repeat cesarean scheduled on 9/21 (in labor upon arrival)

Patient has had 2 cesareans (1 past c-section), Patient is 37 weeks pregnant, G2, P1

Room info: Room is clean, patient is keeping hygiene intact with the use of wipes, IV line not connected, Blinds are open for sunlight, no use of O2 patient is on room air, patient looked a bit uncomfortable.

Labs:

O+ blood

Antibody screen (negative)

Rubella (negative)

Hep B (negative)

HIV (negative)

Syphilis (negative)

COVID (negative)

CO2: 17

Glucose: 79

CBC:

Sep. 10th. Sep. 11th

WBC: 9.3________________10.2

RBC: 3.60_______________ 3.09

HGB: 11.0_______________ 9.5 (Indicating anemia)

HCT: 32.3_______________ 28.2

PLT: 177________________ 169

 

Medications;

Colace 100mg BID

Notrin 600mg PRN (for pain)

Magnesium hydroxide 30mL PO

Narco PRN

Mylicon 80mg

Anticef 2g IV

Each clinical judgement should include:

-Why does it matter?

-What could it mean

-where do I start

-what can I do

-what will I do

-Did it help

Clinical Judgment #1

Patient is anemic by looking at HGB levels (9.5). Risk of falls, fatigue, and dizziness. Pt needs to dangle feet before standing. Instruct client to take iron tabs and iron rich foods. Iron tabs will make patient constipated, so colace (laxative) should be taken with iron tabs.

Clinical judgment #2

Patient had bladder adhesions. Doctor had to dissect the bladder from the uterus. Significant risk for bladder injury if patient has another cesarean.

Clinical Judgment #3

Risk of bleeding… (refer to the student example)