Discussion paper module 3 An 18 year old Primigravida presents to Labor and delivery with what appears to be active labor. Upon questioning you discover that she has received no prenatal care. In obtaining some history while placing her on the fetal monitor you learn she is a smoker, approximately 1 pack per day, occasional marijuana for stress and denies any support system. The Father of the baby (FOB) has no knowledge of the pregnancy. She does not take prenatal vitamins. She states "They were too hard to swallow". She has no idea when her LMP was and she relates always being irregular. * remember LMP is to ask the first day of her Last Menstrual not when the bleeding stopped. What other questions are essential for her safe care? What lab values do you need to obtain? What exam findings should you obtain at this time? What education will you provide for her? She asks you how long this will take to have the baby- what is your best response?

1 -The questions that are essential are the following:

if you have ultrasound or monitoring

if you have had blood loss

if you have had severe pain during pregnancy

if you have been abused or have had careless sex with other people

if you have the complete vaccination plan

if you have any underlying pathology or systematic disease

if you used drugs in the last 24 hours

if you have allergy or hypersensitivity to anesthesia or another drug

if you have someone to go to or contact in case of an emergency

2- the laboratory values we need are: check an electrocardiogram to avoid possible cardiac accidents during labor, basic coagulogram to check whether or not the patient is at risk of hemorrhage, complete blood count, RIN, erythrocyte sedimentation, glycemia or glycated hemoglobin to rule out gestational diabetes, urinalysis, perianal swab to rule out the presence of streptococcus, HIV elisa or rapid test, STD related studies such as VDRL for syphilis.

3-The education that it would provide would be through psychological support with the health committee, in order to encourage women to take more care of the baby and their own health, so that they do not abandon good habits and good quality of life. who is bringing a life to the world.

4-As for my answer on how long it would take, I would say that it is indeterminate, although once the baby's head and one shoulder crossed the partition channel, I would say that it is not long and the cheerleader will end up collaborating more on the spot. surgical

Explanation:

Everything written is the protocol that would have to be taken during the pregnancy of the baby, but when we find a patient who is not very responsible or very suffering, who did not have the necessary precautions, it is important to be very careful in blood count and cardiological values to avoid misfortune and rule out pathologies such as thrombophilia that could end the mother's life.