KEISER UNIVERSITY MATERNITY NURSING CARE PLAN

STUDENT NAME: DATE: CURRENT COHORT: David Lipkint July 8, 2019 38 CLIENT INITIALS: DATE OF ADMISSION: AGE: ALLERGIES: MZ July 6, 2019 22 No allergies HT: PRE-PREGNANT CURRENT TOTAL WT GAIN: BMI: 5’3” WT: WT: 50 35 145 195 LIVING SITUATION/MARITAL STATUS Lives with husband RACE/ETHNICITY: CULTURAL CONSIDERATIONS PERTINENT TO LABOR, DELIVERY, & White/Hispanic POSTPARTUM/NEWBORN CARE: None RELIGION/SPIRITUAL CONSIDERATIONS PERTINENT TO LABOR, DELIVERY, & POSTPARTUM/NEWBORN CARE: Christian PAST MEDICAL HISTORY/IMMUNIZATIONS: (UP TO DATE) MZ has received her immunizations PAST OBSTETRICAL HISTORY: Include dates of previous deliveries, Cesarean or vaginal births, USE OF forceps or vacuum extractions, length of labor, analgesia/anesthesia used, any difficulties with infants at birth. N/A, Mom is Primipara GRAVIDA 1 TERM 1 PRETERM 0 ABORTIONS 0 LIVING 1 DUE DATE: (LMP) August 31, 2018 (ULTRASOUND) N/A GESTATIONAL AGE38 weeks PRENATAL CARE BEGAN@ 1 Month, November 2, 2018 PREGNANCY PLANNED? No ALCOHOL USE: Before pregnancy? Yes During pregnancy? No If yes: type, frequency, amount A couple of beers a week TOBACCO USE: Before pregnancy? Yes During pregnancy? No If yes: Type, frequency, amount (packs per day) Pack a Day ILLEGAL DRUG USE: Before pregnancy? No During pregnancy? No If yes: type, frequency, amount Have siblings been prepared for new baby? N/A How? N/A