What is Placenta Previa?

OB Case Scenario Project #1


Ann works full-time as a crossing guard at an elementary
school. She is a married 34 year-old G1P0, 32 weeks pregnant
woman and reported to her OB this morning that she has been
experiencing some “spotting”. She has just been told by her OB
that she as PLACENTA PREVIA and has been sent home on
bedrest.
• What is Placenta Previa?
• How may this diagnosis affect
the rest of her pregnancy?
Her home life/ emotional/
financial/ sexual needs?
• Ann should notify her doctor if
she experiences what symptom/sign?
• How will this affect the delivery of her baby?
• What concerns might you have about her delivery?
• What will her postpartum recovery be like afterwards?
• As her postpartum nurse, describe your plan of care for her
including any medications/ labs/ nursing diagnoses that you feel
may be relevant.
OB Case Scenario Project #2
Maria is 37 weeks pregnant. She is worried and visits her
doctor with a concern. Maria states “her sister had a baby
four years ago and something happened. She had an
abruption. The doctor says that it was called a
PLACENTA ABRUPTION. Maria is concerned that she
can have this too!
• What is Placenta Abruption?
• How may this diagnosis affect
the rest of her pregnancy? Her
home life/ emotional/ financial/
sexual needs?
• What signs or symptoms
would a patient experience if
they were experiencing a placenta abruption?
• How will this affect the delivery of her baby?
• What concerns might you have about her delivery?
• What will her postpartum recovery be like afterwards?
• As her postpartum nurse, describe your plan of care for
her including any medications/ labs/ nursing diagnoses
that you feel may be relevant.
OB Case Scenario
Project #3
Sasha is a 25 year-old, G3P2, 29
week pregnant woman who stays at
home three days a week with her
younger children and works two days
a week as a trial lawyer. Her income is
needed to maintain her home and family. Recently she has been
experiencing lots of cramping, backache, and pelvic pressure. Her
doctor tells her she may be in PRETERM LABOR and sends her
to the hospital to be evaluated.
• What is Preterm Labor?
It has been decided that Sasha will spend the remainder of her
pregnancy in the antepartum unit at the local hospital.
• How may this diagnosis affect the rest of her pregnancy? Her
home life/ emotional/ financial/ sexual needs?
• What medications may be used to treat her preterm labor?
• What medication may they give her to help with the development
of her unborn baby’s lungs?
• As her LPN, what testing or blood labs can you expect the
doctor to order?
At 32 weeks gestation, Sasha’s water breaks, and goes into labor.
She delivers a 3lb. 5 oz. baby girl by vaginal delivery.
• What are your concerns as her nurse if the baby is delivered at
32 weeks gestation?
•Will she be able to see, hold and breast feed with her baby right
after delivery?
• As her postpartum nurse, describe your plan of care for her
including any medications/ labs/ nursing diagnoses that you feel
may be relevant.
OB Case Scenario Project #4
Monica is a 26 year old, G1P0, 38 week pregnant nursing student
at Keiser Career College! She has been studying very hard lately
for her ATI exam. For the past two days she has been having
really bad headaches, blurry vision, and feels “fat”. She weighs
herself and sees that she is 12lbs heavier than two weeks ago and
sees her face and hands very puffy! Her OB just told her that she
has PRE-ECLAMPSIA and has been sent to the hospital for bed
rest.
• What is Pre-Eclampsia?
• How may this diagnosis affect the rest of her pregnancy? Her
home life/ emotional/ financial/ sexual needs?
• What medications may be ordered to treat her pre-eclampsia?
What antidote should you have at her bedside as well?
• Describe the condition of her hospital room.
As the LPN, you are helping the
RN watch Monica’s condition closely.
•What physical findings are you
assessing her for probably hourly?
• Which changes in her assessment
would you report to her doctor immediately???
• How will having pre-eclampsia affect the delivery of her baby?
• What concerns might you have about her delivery?
• What will her postpartum recovery be like afterwards?
• As her postpartum nurse, describe your plan of care for her
including any medications/ labs/ nursing diagnoses that you feel
may be relevant.
OB Case Scenario Project #5
Tanya is a 31 year old, G2P1, 41 week pregnant woman. Her
doctor is concerned that Tanya has gone past her due date and
schedules her for an INDUCTION in the morning at the hospital.
• What is an Induction?
• What medications may
her doctor use to induce her
labor?
• What types of testing can
you expect the doctor to
order?
You are her nurse and Tanya
tells you that she did not attend
any prenatal classes. Prior to
starting her induction she asks you to tell her a little about labor.
• Describe for her the four stages of labor.
• Explain to her the three different phases of labor.
• Discuss her possible options for management of pain during
labor. (Include one non-pharmacological comfort measure, one
IV pain med, and one anesthesia).
OB Case Scenario Project #6
Roberta is a 26 year old, 39 week pregnant woman who was
just told by her doctor, at her office visit, that she needs a
CESAREAN SECTION.
• What is a cesarean section?
• Why might a NON-LABORING pregnant woman need a
cesarean section? Name and explain 3 reasons.
• Why might a LABORING pregnant woman need a cesarean
section? Name and explain 2 reasons.
You are her nurse in the pre-op area and are getting her ready
for the operating room. She asks you to:
describe briefly what will happen in the OR.
She asks you about her recovery after the surgery.
• Describe for her how she will look and feel after surgery
when she gets to the Post Partum Unit.
• Explain some of the medications that may be ordered for her
to take. Name and explain 3.
You are reviewing discharge
teaching of a cesarean patient
with her. You tell her that
compliance is important.
Teach her 2 things that you
hope she complies with.