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    Pre Term Labor Case Scenario GRP A

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    JR Rolf Neuqelet
    The document describes a case scenario of a 25-year-old pregnant woman experiencing pre-term labor at 28 weeks of gestation, including her demographic information, clinical data, past medical history, present health history, and doctor's orders for admission and management to stop the pre-term labor.

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    © All Rights Reserved
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    Pre Term Labor Case Scenario GRP A

    Uploaded by

    JR Rolf Neuqelet
    38 views5 pages
    The document describes a case scenario of a 25-year-old pregnant woman experiencing pre-term labor at 28 weeks of gestation, including her demographic information, clinical data, past medical history, present health history, and doctor's orders for admission and management to stop the pre-term labor.

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    Pre-Term-Labor-Case-Scenario-grp-A

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    The document describes a case scenario of a 25-year-old pregnant woman experiencing pre-term labor at 28 weeks of gestation, including her demographic information, clinical data, past medical history, present health history, and doctor's orders for admission and management to stop the pre-term labor.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    38 views5 pages

    Pre Term Labor Case Scenario GRP A

    Uploaded by

    JR Rolf Neuqelet
    The document describes a case scenario of a 25-year-old pregnant woman experiencing pre-term labor at 28 weeks of gestation, including her demographic information, clinical data, past medical history, present health history, and doctor's orders for admission and management to stop the pre-term labor.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 5

    Pre-Term Labor Case Scenario

    Demographic Profile
    Name: MGS
    Gender: Female
    Age: 25 years old
    Birthday: August 12, 1997
    Place of Birth: San Nicolas, Tarlac City
    Nationality: Filipino
    Civil Status: Married
    Address: San Vicente, Tarlac City
    Religion: Roman Catholic
    Educational Level: College Undergrad (BSIT 2nd year)

    Clinical Data
    Chief Complaint: Hypogastric Pain
    Impression: G1P0 Pregnancy Uterine 28 weeks AOG; in preterm labor
    LMP: June 1, 2021
    EDC: March 8, 2022
    Uterine Contractions (January 19, 2022 at 7:25 am): Moderate uterine contractions at 37
    secs duration; 6 minutes interval
    FHT: 147 bpm
    VS: BP: 160/100; PR: 91 bpm; RR: 24 cpm; Temp: 36.7 C
    FHT: 146 bpm

    Past Health History


    Mrs. MGS was born via NSD. She was delivered at term at 39 weeks AOG weighing 9 lbs. at a
    lying-in clinic somewhere in their place. She was fully immunized as a child. She stated that
    she already experienced chicken pox and measles. There were no drugs given to her as a
    relief. Mrs. MGS does not have any history of hospital admissions nor past surgical
    procedures. She only experienced common illnesses such as fever, colds and coughs once or
    twice a year and was treated at home with over-the-counter medications like Biogesic for
    fever and Neozep for colds. She has seafood allergies. She had her menarche when she was
    13 years old, with irregular menstrual cycle (every 2-3 months for 7 days) and consumes 4
    pads per day. Mrs. MGS started to smoke when she was 19 years old, consuming 1-2 packs
    per day. She stopped when she got pregnant. She also drinks alcohol occasionally. Patient
    MGS also has family history of hypertension in her maternal side. Her mother and
    grandfather are both hypertensives.

    Present Health History


    Last January 18, 2022, four hours prior to admission, Mrs. MGS experienced onset of pain at
    the hypogastric area sometimes radiating at her lower back associated with frequent
    uterine contractions. She said there was no bloody show or watery vaginal discharge noted.
    The patient applied liniment oil (manzanilla) as temporary relief but it did not work. Before
    the pain began, she only does typical house chores at their home such as washing the dishes
    and cleaning the house 1-2 hours before the said incident. She rated her pain scale 8/10.
    The persistence of these symptoms prompted her admission at Tarlac Provincial Hospital
    last January 19, 2022 at 7:05 am and was then noted to have premature uterine contraction
    with an AOG of 28 weeks.

    Doctor’s Order
    -Admit patient to OB ward
    -Secure consent for admission and management
    -Diet: NPO
    -IVF: D5LRS 1L X 8 hrs.
    -Diagnostics: CBC PC, HBSAg, FBS, CREA, CXR-PA, ABO Rh Typing, UA, BUN, SGPT, SGOT
    -Meds: Terbutaline ½ amp SQ now
    MgS04 4g SIVP now then start MgSO4 drip: MgSO4 20g+D5W 500 cc x 50cc/hr. via
    soluset
    Dexamethasone 6mg IM now then q12 x 4 doses
    -Monitor VS, FHT, POL q 1hr and record
    -Maintain on left lateral decubitus position
    -CBR w/out BRP
    -WOF MgSO4 toxicity: DTR, RR 12,  UO 30 cc/hr.
    -Seizure precaution
    -Refer

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