SOLVED2269

A 27-year-old female, Jessica, comes to the ED with horrible abdominal pain. She is pregnant but not sure how far along she is but thinks about 36 weeks. She has had no prenatal care and a history of cocaine use. The patient is disheveled and alone when she arrives. The nurse tells the patient, “I need to see if I can get a fetal heart rate.” The patient is out of control screaming, “it hurts.” The nurse asks, “where does it hurt, is it radiating to your back?” The nurse assesses the abdomen and notes it to feel extremely firm. The patient continues to say, “I don’t feel well, it hurst so bad.” The nurse also notes the bloody show. The nurse asks the patient when she last used cocaine. The patient responds, “I did this morning, but it was my first time in a long time.” The nurse found the fetal heart rate and it is around 100bpm.
SCIENCE
HEALTH SCIENCE
NURSING

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