OB Nursing Concept Map - Nursing
Need Help Constructing an OB Concept Map
Chief Complaint
Contractions, rupture of membrane or bleeding.
Admitting Diagnosis
NSVD, or C-Section
Medical Conditions
Patient Information
(1)
Name:
Age:
Height/Weight:
Allergies:
Gestational Age:
Admitting Dx (Cite References) Medical, Surgical, Social History and OB History
Medical History
Surgical History
Social History
Obstetric History
GTPAL
Cultural considerations, ethnicity, occupation, religion, family support, insurance. (1) (14)
Medical Management/ Orders/ Medications & Allergies (2)
Name
Dose
RT
Freq.
MOA
RN Considerations
Onset/Peak/Duration
(Insulin)
Erickson’s Developmental Stage Related to pt. & Cite References (1)
Patient Education (In Pt.) & Discharge Planning (home needs
)
Diagnostic Test/ Lab Results with dates and Normal Ranges (3)
Test
Norms
Date
Current Value
Concept Map
Student Name:
Instructor:
PC Outcomes/Goal
Priority nursing diagnosis #2
Respiratory (7)
Vital Signs (4)
Integumentary (12)
Interventions # 2
Assessment/ Evaluation #1
Assessment/ Evaluation #2
PC Evaluation Plan
Potential Complications/ at risk for
PC Interventions
Psychosocial (14)
Cardiovascular (6)
Endocrine (13)
Misc. (Ht/Wt)
GU (10)
GI (9)
Nutrition/Hydration
(8)
Rest/ Exercise (11)
Neurological (5)
Outcome/Goal #1
Priority nursing diagnosis #1
Outcome/Goal #2
Interventions #1
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History of Present Illness
-HPI explained in detail with accurate and in-depth understanding of chief complaint and supported by evidence based citations.
Physical Assessment, & Diagnostic tests/ procedures
-Identifies comprehensive assessments parameters relevant to medical diagnoses with relevant diagnostic procedures supported by evidence based citations.
Past Medical & Surgical History, Pathophysiology
-Past medical/surgical history detailed with full explanation of Pathophysiology for each diagnosis & accurate details with specific detail related to the client’s history and symptoms and supported by evidence based citations.
Erikson’s Developmental Stages
-Identifies and defines correct stage with examples of meeting/not meeting tasks supported by evidence based citations.
Socioeconomic/ Psychosocial Assessment
-Describes socioeconomic and cultural background in complete detail with references; Identifies 3 psychosocial concerns.
Interprofessional Consults & Discharge Referrals
-Lists 3 or more appropriate collaborative issues/concerns; Rationale demonstrates excellent understanding of consults and interventions.
Potential Health Deviations
-Identifies TWO prioritized risk factors in proper format; Writes 3 independent nursing interventions.
Priority Nursing Diagnosis
-TWO (2) prioritized diagnoses written correctly with proper format with proper etiology with sufficient data to support the diagnosis.
Implementation and Rationale
-Identifies 4 comprehensive nursing interventions which support each SMART goal and nursing diagnoses. Nursing interventions are appropriate and safe and demonstrates clinical reasoning. Includes nursing and pharmacological interventions. Includes at least 1 health teaching intervention that considers health literacy level and needs of patient/family. Includes psychosocial, spiritual, and cultural needs. Each is supported with scientific rationale using textbook or EBP.
Planning/Goals & Evaluation
-Goal is measureable, realistic, related to the problem; Data supports if goal is met, not met with appropriate revisions.
Medications
-Lists all MAR medications with relevant side effects and nursing considerations specific to patient and reasons why patient is receiving drug. Shows safe ranges by weight for infants and children or gives a rationale if it is out of range.
General Organization
-Accurate APA format; Appropriate citations & references; No spelling or grammar errors.
Case Scenario 6
History of Present Problem:
Jennifer Lopez is a 25-year-old female patient G1P0 who is currently 39 3/7 weeks gestation. She is admitted to the hospital to be induced for being post-date. She is positive for Group Beta streptococcus and receiving IV antibiotics per protocol. She is 65 inches (162.5 cm). Her pre-pregnancy weight was 115 pounds (52.3 kg). She gained 18 pounds (6.8 kg) during this pregnancy. She just had spontaneous rupture of membranes with a moderate amount of thick meconium fluid at 9 pm. The nurse performed a vaginal check, and her cervix is dilated to 4 cm, 8 percent effaced and -1 station. Pitocin is infusing at 8 mU/minute intravenously.
Personal/Social History:
Jennifer lives with a roommate and is no longer involved with the father of her baby. Her family support is limited to her older brother, Sal. She smokes one pack of cigarettes a day and has not had a job for over a year and states money is tight. She admits to not eating very healthy during the pregnancy because it is easier to grab hamburger and coke than cook. She missed a few of her prenatal visits due to transportation issues and did not attend any prenatal classes. Her sister is present as her support person during labor and delivery.
Patient Care Begins: Current VS:
P-Q-R-S-T Pain Assessment:
T: 99.9 F/37.7 C (oral)
Provoking/Palliative:
Uterine contractions
P: 92 (regular)
Quality:
Severe cramping; moderate to palpation
R: 18 (regular)
Region/Radiation:
Low pelvis
BP: 128/68
Severity:
6/10
O2 sat: 99 % LA
Timing:
With uterine contractions
GENERAL APPEARANCE:
Calm and appears to be resting between contractions. Using breathing techniques during contractions appropriately
RESP:
Breath sounds clear with equal aeration bilaterally ant/post, nonlabored respiratory effort
CARDIAC:
Pink, warm & dry, no edema, heart sounds regular with no abnormal beats, pulses strong, brisk cap refill, 1+ bilateral pedal edema
NEURO:
Alert and oriented to person, place, time, and situation (x4)
Maternal/Fetal
FHT’s:
140s regular
Variability:
See monitoring strip to address
Accelerations:
See monitoring strip to address
Decelerations:
See monitoring strip to address
Contractions:
Yes
Frequency:
Every 3-4 minutes
Duration:
60-70 seconds
Intensity:
Moderate to palpation
Diagnostic Results: Complete Blood Count (CBC)
WBC
HGB WBC
PLTs
% Neuts
Current:
10.2
11.2
240
62
MISC.
Blood Type
Current:
A-
Over the past hour, fetal heart tones (FHT) have remained at 140 with
Minimal variability and no accelerations. She has had three more variable decelerations lasting 30-40 seconds. You position Jennifer on her left side, and she receives an IV bolus of 1000 mL LR and O2 is applied via non-rebreather mask at 10 liters. You are in the room trying to help her breathe through her contractions when she has a prolonged late deceleration lasting three minutes with FHTs in the 70s before returning to 120 bpm.
Medical Management
Consent for C-section
Stop Pitocin
Terbutaline 0.25 mg subcutaneous x1
dose
0.9% NS 1000 mL IV bolus
Foley indwelling catheter
O2 at 10 L via mask
CATEGORIES
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f. Three Social Entrepreneurship Models
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American history
Pharmacology
Ancient history
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Numerical analysis
Environmental science
Electrical Engineering
Precalculus
Physiology
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Electronic Engineering
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Algebra
Geology
Physical chemistry
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Probability
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Identify a specific consumer product that you or your family have used for quite some time. This might be a branded smartphone (if you have used several versions over the years)
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Chemical Engineering
Ecology
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INSTRUCTIONS:
To access the FNU Online Library for journals and articles you can go the FNU library link here:
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In order to
n that draws upon the theoretical reading to explain and contextualize the design choices. Be sure to directly quote or paraphrase the reading
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Key outcomes: The approach that you take must be clear
Mechanical Engineering
Organic chemistry
Geometry
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Topic
You will need to pick one topic for your project (5 pts)
Literature search
You will need to perform a literature search for your topic
Geophysics
you been involved with a company doing a redesign of business processes
Communication on Customer Relations. Discuss how two-way communication on social media channels impacts businesses both positively and negatively. Provide any personal examples from your experience
od pressure and hypertension via a community-wide intervention that targets the problem across the lifespan (i.e. includes all ages).
Develop a community-wide intervention to reduce elevated blood pressure and hypertension in the State of Alabama that in
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Conclusions
References (8 References Minimum)
*** Words count = 2000 words.
*** In-Text Citations and References using Harvard style.
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making the appropriate buying decisions in an ethical and professional manner.
Topic: Purchasing and Technology
You read about blockchain ledger technology. Now do some additional research out on the Internet and share your URL with the rest of the class
be aware of which features their competitors are opting to include so the product development teams can design similar or enhanced features to attract more of the market. The more unique
low (The Top Health Industry Trends to Watch in 2015) to assist you with this discussion.
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Next year the $2.8 trillion U.S. healthcare industry will finally begin to look and feel more like the rest of the business wo
evidence-based primary care curriculum. Throughout your nurse practitioner program
Vignette
Understanding Gender Fluidity
Providing Inclusive Quality Care
Affirming Clinical Encounters
Conclusion
References
Nurse Practitioner Knowledge
Mechanics
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1. In 1972 the Furman v. Georgia case resulted in a decision that would put action into motion. Furman was originally sentenced to death because of a murder he committed in Georgia but the court debated whether or not this was a violation of his 8th amend
One of the first conflicts that would need to be investigated would be whether the human service professional followed the responsibility to client ethical standard. While developing a relationship with client it is important to clarify that if danger or
Ethical behavior is a critical topic in the workplace because the impact of it can make or break a business
No matter which type of health care organization
With a direct sale
During the pandemic
Computers are being used to monitor the spread of outbreaks in different areas of the world and with this record
3. Furman v. Georgia is a U.S Supreme Court case that resolves around the Eighth Amendments ban on cruel and unsual punishment in death penalty cases. The Furman v. Georgia case was based on Furman being convicted of murder in Georgia. Furman was caught i
One major ethical conflict that may arise in my investigation is the Responsibility to Client in both Standard 3 and Standard 4 of the Ethical Standards for Human Service Professionals (2015). Making sure we do not disclose information without consent ev
4. Identify two examples of real world problems that you have observed in your personal
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Ethics
We can mention at least one example of how the violation of ethical standards can be prevented. Many organizations promote ethical self-regulation by creating moral codes to help direct their business activities
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The inbound logistics for William Instrument refer to purchase components from various electronic firms. During the purchase process William need to consider the quality and price of the components. In this case
4. A U.S. Supreme Court case known as Furman v. Georgia (1972) is a landmark case that involved Eighth Amendment’s ban of unusual and cruel punishment in death penalty cases (Furman v. Georgia (1972)
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The ability to view ourselves from an unbiased perspective allows us to critically assess our personal strengths and weaknesses. This is an important step in the process of finding the right resources for our personal learning style. Ego and pride can be
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While you must form your answers to the questions below from our assigned reading material
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4 In order to get the entire family to come back for another session I would suggest coming in on a day the restaurant is not open
When seeking to identify a patient’s health condition
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Your paper must be at least two pages in length (not counting the title and reference pages)
The word assimilate is negative to me. I believe everyone should learn about a country that they are going to live in. It doesnt mean that they have to believe that everything in America is better than where they came from. It means that they care enough
Data collection
Single Subject Chris is a social worker in a geriatric case management program located in a midsize Northeastern town. She has an MSW and is part of a team of case managers that likes to continuously improve on its practice. The team is currently using an
I would start off with Linda on repeating her options for the child and going over what she is feeling with each option. I would want to find out what she is afraid of. I would avoid asking her any “why” questions because I want her to be in the here an
Summarize the advantages and disadvantages of using an Internet site as means of collecting data for psychological research (Comp 2.1) 25.0\% Summarization of the advantages and disadvantages of using an Internet site as means of collecting data for psych
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One thing you will need to do in college is learn how to find and use references. References support your ideas. College-level work must be supported by research. You are expected to do that for this paper. You will research
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3 The first thing I would do in the family’s first session is develop a genogram of the family to get an idea of all the individuals who play a major role in Linda’s life. After establishing where each member is in relation to the family
A Health in All Policies approach
Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum
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Use the bolded black section and sub-section titles below to organize your paper. For each section
Losinski forwarded the article on a priority basis to Mary Scott
Losinksi wanted details on use of the ED at CGH. He asked the administrative resident