Case Study About Itrauterine Fetal Demise

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CASE STUDY

OF

INTRAUTERINE FETAL DEMISE

MA. ARNIE PULGA, RN

BY:

GROUP 25

ESPINOSA, MARIFE S.

FACUN, SHALLIE MAE E.

FERNANDO, MONIKA V.

GORIOSO, GERMAIN B.

Biographical data

Name: Mrs. C. B

Status: Widow

Birthday: 05/05/1968

Birthplace: Bacolod

Religion: Catholic

Admitting diagnosis: Intrauterine Fetal Demise 39 weeks AOG G5P4 (4014)

Attending Physician: Dr. Isabel Hayag

Operation procedure: NSD with Mer (3)

Final Diagnosis: Intrauterine Fetal Demise 39 weeks AOG G5P4 (4014)

Reason of Admission: Abdominal Enlargement, labor pain

History of present illness:

Few hours prior to admission patient had on set sudden of abdominal enlargement, Patient was in denial of pregnancy on examination revealed pregnancy (+)

PHYSICAL EXAMINATION

1.) GENERAL INFORMATION

NAME;C.B.
AGE: 41 yrs. old
CC: Abdominal Enlargement
ADMITTING DIAGNOSIS: Intrauterine fetal demise
ADMITTING PHYSICIAN: Dr. Isabel Hayag

2.) VITAL SIGN

BP: 150/100
Temp: 36 C
RR: 20 cycles/min
PR: 88 bpm

3.) GENERAL SURVEY
The patient show with signs of distress
Coherent, oriented to time, place and person
The pt. is ectomorph.
Well- developed.
Looks according to age.
Emotional state is haggard.

4.) SKIN
The general color is pale.
Smooth to touch.
Has a fair skin turgor.
Warm and dry.

5.) HEAD
The pt. head is normocephalic.
Fine hair and clean scalp
Lids are symmetrical
Peri orbital region has no edema.
Conjuctiva are pale.
Anicteric scalera.
Cornea and lens are smooth.
Pupil size are equal.
Reaction to light are brisk.
Has uniform constriction.
Convergence are intact.
Visual acuity is grossly normal.

6.) EARS
External pinnae are normoset.
No discharge.
Gross hearing are symmetrical.

7.) NOSE
Nasolabial fold is symmetrical.
Septum is in midline.
Mucosa is pale.
Gross smelling are summetrical.
Both patent.
Non-papable.

8.) MOUTH
Lips are pale.
Tongues is in midline.
Gums and mucosa are pale

9.) PHARNYX
Uvula is in midline.
Mucosa is pale.
Tonsils are not inflamed.

10.) NECK

Trachea is in midline.
Non-palpable lympnodes and thyroids.

11.) CHEST AND LUNGS

Breathing pattern is regular.
Lung expansion are symmetrical.
Vocal premitus are symmetrical.
Bronchial sound heared over trachea
Bronchovesicular sound heared over mainstem bronchi
Vesicular heared over lung periphery

12.) HEART
Normo-dynamic precordium
Heart sound is regular

13.) BREAST AND AXILLE
Equal in size, engorge
Shape is symmetrical
Pinkish In color
Smooth surface

14.) ABDOMEN
Configuration symmetrical
Normo active bowel sounds

15.) GENITO URINARY SYSTEM
Not able to assess

16.) BACK AND EXTREMITTIES
Peripheral pulses are symmetrical
Nails and nail beds is pale
The pt. have full range of motion
Spine is in middle

INTRAUTERINE FETAL DEMISE (IUFD)

Intrauterine fetal demise is the clinical term for the death of a baby in the uterus during pregnancy and before birth. The term is usually used for pregnancy losses that happens after 20th week of gestation. Also known as: stillbirth.

ANATOMY AND PHYSIOLOGY

During pregnancy (female reproductive)

• Vagina: A muscular passageway that leads from the vulva (external genitalia) to the cervix. • Cervix: a small hole at the end of the vagina through which sperm passes into the uterus. Also serves as a protective barrier for the uterus. During childbirth, the cervix dilates (widens) to permit the baby to descend from the uterus in to the vagina for birth. • Uterus: A hallow organ that houses the baby during pregnancy. During childbirth, the uterine muscles contract to push out the baby. Each month, unless a fetus has been conceived, the uterine wall sheds its lining. • Amniotic fluid: is the nourishing and protecting liquid contain bu the amnion of a pregnant woman.

• Fetus: is a developing mammal or other viviparous...
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