Patient Y's Case Summary

During Patient Y’s stay on the maternity unit, various laboratory studies were drawn via the patient’s blood sample. After arriving on the unit, Patient Y had routine blood drawn, which includes a rapid plasma regain (RPR), CBC and differential, and a type and screen. Please refer to Appendix B. The RPR was drawn to test for syphilis, which is a sexually transmitted disease. Patient Y’s RPR was nonreactive, which indicates that she does not have syphilis. Patient Y’s CBC and differential was within the normal limits, besides her hemoglobin, which was 11.4 g/dL. Since her hemoglobin was a little low routine blood work will be drawn the day after her delivery to recheck her hemoglobin and to make sure she did not lose too much blood. Her blood type was confirmed to be O negative.
While in the labor room, Patient Y was placed on a fetal heart monitor and a toco monitor. The fetal heart monitor recorded the fetus’s heart rate and the toco monitor measured the frequency of her contractions. Patient Y’s vital signs were also monitored throughout this time. After these monitors were placed, the physician performed a cervical exam to determine the engagement of the fetus and the cervical dilation and effacement. The patient was three centimeters dilated, 60% effaced, and at -2. Her membranes were
The reason why an X-ray would be needed is because there was no initial or final count. This means that when the cesarean section began, the instruments and the sponges were not counted. Due to this they couldn’t have a final count to determine if any instruments or sponges were left in the patient. In order to confirm that there was nothing left inside the abdomen, an X-ray was performed. The physician received the results and no instruments or sponges were left in the patient after the incision was