Reference no: EM133854933

CASE STUDY 1. Carmen is transferred to the mother-baby unit after a cesarean delivery 2 hours ago following a long la- bor. Her healthy daughter weighs 4540 g (10 pounds). Carmen blood loss during surgery was 1200 mL. Her vital signs on admission to the unit are: T 990 F, P 86, R 20, BP 118/80. Her fundus is firm, midline, and lochia is scant in amount. The dressing over her incision is clean and dry. The indwelling catheter bag contained 550 mL of light-yellow urine when it was emptied before transfer from the recovery room. Carmen is awake and says she is "really tired. She received epidural morphine (Duramorph) prior to leaving the operating room and rates her pain as 0 on a pain scale. (Use information from Chapters 7, 9, and 10 to answer the questions in this exercise.)

a. Identify the priority nursing diagnosis for Carmen during her recovery period. What interventions are appropriate for this nursing diagnosis? What other important nursing diagnosis should be considered? Why?

b. Carmen vital signs are: T 98.6 F, P 96, R 20, BP 110/90 1 hour later. Lochia is moderate, with some small clots. Her catheter bag contains a very small amount of urine. She is slightly restless, but says she has no pain. How should you interpret these assessments? Do you need any other information? What action should you take?

c. Are other complications more likely to develop later in the postpartum period? What do you think they would be, based on this evidence?