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NCA 2 Sumagaysay, I.V. 2017 West Visayas State University COLLEGE OF NURSING La

NCA 2 Sumagaysay, I.V. 2017 West Visayas State University COLLEGE OF NURSING La Paz, Iloilo City NCA 202: PROCESS GUIDE Group / Section: Sec. C - RLE Group 2 Concept/Topic: Pre/Post Term Infant Date of Presentation: November 18, 2017, 1PM Date of Submission: January 3, 2018 CASE SCENARIO: Keriwit, a 20 year-old primipara, 30 weeks pregnant, whom you see in a prenatal clinic. She had symptoms of urinary tract infection for the past few days but didn’t call the clinic because she knew she had an appointment today and thought getting some help for it could wait until she came in. Yesterday she noticed some mild abdominal pain and thought it was irritation from the bladder infection. During the night, she woke up twice because of a nagging backache. This morning, she has intermittent sharp uterine contractions asking, “Why did this happen? I didn’t do anything wrong.” Family Assessment Keriwit, 20, lives in a 2-bedroom, third floor condominium. Works as a secretary for a university president; the husband is the driver of the same university president. Client Assessment G2P0, 30 weeks pregnant. Heart rate at 88bpm, RR=22, BP=130/80 mmHg. Fetal heart rate at 142 beats per minute. Reports positive fetal movement. Uterine contractions every 7 minutes lasting 40 seconds. Intravenous tocolytic therapy with terbutaline ordered. PRESENTATION OF 3M’S I. MEDICAL PROBLEM 1. Anatomy and Physiology 2. Textbook Definition 3. Risk Factors 4. Schematic Diagram II. MANIFESTATION 1. Signs and Symptoms a. Integumentary b. Neurologic c. Respiratory d. Cardiovascular e. Gastrointestinal f. Genito-urinary g. Reproductive h. Endocrine i. Musculoskeletal j. Lymphatic k. Hematologic l. Psychosocial NCA 2 Sumagaysay, I.V. 2017 2. Client Assessment Data Base a. Activity/Rest b. Circulation c. Elimination d. Food/Fluid e. Pain/Discomfort f. Respiration g. Safety h. Teaching/Learning 3. Diagnostic Studies III. MANAGEMENT 1. Medical Interventions 2. Pharmacologic Interventions 3. Surgical Interventions 4. Nursing Interventions a. Dependent b. Independent 5. Collaborative Interventions 6. Nursing Priorities 7. Discharge Goals 8. Innovations 9. Evidence Based / Research 10. Nursing Care Plan IV. AREAS TO BE INTEGRATED Anatomy, Physiology, Pathophysiology, Assessment, Developmental Changes in the Lifespan, Safety, Comfort, Reduction of Risk Potential, Infection Control, Diagnostic Exams, Nutrition, Pharmacology, Bioethics, Jurisprudence, Delegation, Coordination, Collaboration, Communication, Patient Advocacy, Transcultural Nursing, 11 Key Areas of Nursing Responsibilities V. REFERENCES FORMAT  LONG SIZED BONDPAPER  1.5 SPACING  FONT SIZE 12  TIMES NEW ROMAN  BOUND NCA 2 Sumagaysay, I.V. 2017 uploads/Sante/ nca-guide.pdf