, Concept Map Erickson’s Developmental Stage Related to pt. & Cite Admitting Dx (Cite References) Medical, Surgical,
Student Name: Khristille De Leon References (1)
Social History and OB History
Instructor: Professor Karen Fisher Given J.W. situation, she is currently in the 7th stage of Erickson’s 2
The client, J.W. came to the hospital after dropping off her two
developmental stage, generativity vs. stagnation. According to
Halter & Varcarolis (2018), this stage occurs in middle adulthood older children at school. She complains of bleeding which is
Patient Education (In Pt.) & Discharge Planning (home needs) between 35 to 65 years of age. Generativity means positive goals bright red and in moderate amount. She stated that the bleeding
Cesarean delivery is required for clients with placental previa. of the individual in middle adulthood that involves procreation, began earlier at 8:00 in the morning. She was getting the kids
Therefore, the client will need to be referred to the anesthesiologist creativity, and fulfillment of one’s parental and social ready for school when the bleeding occurred and just put a pad on
for administration of spinal block prior to delivery. responsibilities towards the next generation (APA, n.d.). and drove herself to the hospital. Her husband is on his way to
The client will be educated on the appropriate procedure of Additionally, the developmental task for this stage includes
administering spinal block and what to expect once it is meet her as he was already at work when he received the call
fulfilling life goals that involve family, career, and society. As
administered. Explain client the possible adverse reactions that from her wife. The client also stated that she does not feel any
well as developing concerns that embraces future generations
come with the medication. (Halter & Varcarolis, 2018). While stagnation refers to the failure pain or contractions and that there is no leaking of amniotic fluid.
After discharge, the newborn will need to come back for initial to contribute or uninvolved with their community and society as a J.W. is 35 week gestation, G3P2, with estimated date of
visit to ensure the wellbeing of the baby. Therefore, the client will whole (Cherry, 2021). J.W. presents generativity as she has confinement (EDC) of 07/30/2021. Upon admission, laboratory
be referred to a pediatrician and the appointment will be scheduled fulfilled her goals of graduating with a business degree, owning a works, and initial assessments were performed. Laboratory results
three to five days after the delivery. small bakery shop that she enjoys, and also having the family she came out normal, as well as the assessments for both the maternal
The client will also need to come back to see her obstetrician for and her husband planned to have. She also meets the goals as she and fetal. However, ultrasound confirmed a partial placental
postpartum and incision checkup. This is to ensure that the client spends time volunteering at church with her family. Additionally,
has not developed any complications after discharge. previa. According to Durham & Chapman (2019), placental
she is providing guidance and teaching her children to be involve
Also, since the client smokes cigarettes even during her previa occurs when the placenta attaches to the lower portion of
in the community by helping those who are in need.
pregnancies, she will be educated on the harmful effects of the uterus. They are categorized as either fully covering, partially
cigarettes on the health of her infant, other children, and herself. covering, or low lying near the internal cervical os. Additionally,
Additionally, maybe referring the client to a smoking cessation women with placental previa have increased risk of antepartum
program to help with healthier alternative coping skills. Cultural considerations, ethnicity, occupation, religion,
family support, insurance. (1) (14) vaginal bleeding which can be painless during the third trimester
J.W. is a Chinese female, married, and has two children that are (Durham & Chapman, 2019). However, in some cases, bleeding
ages 5 and 7 years old. She currently lives in Irvine California. may be associated with abdominal pains, and or contractions
She lives in a house that she and her husband own with her (Durham & Chapman, 2019). Some of the risk factors for
Diagnostic Test/ Lab Results with dates
husband and two children. Additionally, her parents are placental previa include prior cesarean births, advanced maternal
and Normal Ranges (3)
incredibly supportive and aid in caring for the children whenever age that is greater than 35 years of age, diabetes or hypertension,
she and her husband are at work. As stated in her social history, and cigarette smoking (Durham & Chapman, 2019). Furthermore,
Test Norms Date Current
she owns a small bakery shop which she opened six years ago.
Value
J.W. mentioned she graduated with a business degree. While her
cesarean delivery is necessary due to the placenta fully or
husband is a computer engineer. Together they make an annual partially covering the cervix which prevents vaginal birth
income of $171,663, which according to Benefits.gov (n.d.), her (Durham & Chapman, 2019). Cesarean is also necessary
family does not qualify for WIC program as they are considered whenever the maternal or the fetal status are compromised
an upper middle class. They both have excellent health insurance (Durham & Chapman, 2019). Two weeks later J.W. return to the
which also covers their children. J.W. and her family practices hospital at 37 weeks gestation stating she woke up in a puddle of
Christianity and goes to church every Sunday with her family. blood. She also states she is experiencing no pain or contractions.
Additionally, she enjoys volunteering at church with her husband Client is now admitted for emergency cesarean delivery.
and children with provide food to the homeless.
Patient Information (1) Chief Complaint
Medical History
The client, J.W. came to the hospital with c/o First trimester (initial visit) at 8 weeks of pregnancy, laboratory
Name: J.W. having moderate amount of bright red works were performed. Based on the client’s results, everything is
Age: 35 years old bleeding which started earlier at 8:00 in the normal.
Gender: Female morning. The patient denies any pain, Blood Type: O-
Height/Weight: 5’6”/ 150 lbs. contraction, or leaking of amniotic fluid. Rh factor: Negative
See page 4. Allergies: NKDA
Code Status: Full code Antibody screen: Negative
Admitting Diagnosis
Gestational Age: 35 weeks gestation CBC, including:
The client was admitted on 06/26/2021 at 35
weeks gestation and was diagnosed with Hemoglobin: 12.6 g/dL
partial posterior placenta previa. Hematocrit: 38.1%
RBC count: 4. 00 x 106 /m m 3
Medical Management/ Orders/ Medications & Allergies (2)
WBC count: 13.5 x 103 /m m3
Platelet count: 300 x 103 /m m3
Name Dose RT Freq. MOA RN Onset/Peak/
Considerations Duration See page 2 for continuation.
(Insulin)
See page 5.
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