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A.W. is a 37-year-old gravida 3 para 2 at 36 weeks pregnant, who presents to the OB triage unit and reports having severe abdominal pain and vaginal bleeding. A.W. reports that the pain started 1 hour ago and is getting progressively worse. The bleeding started shortly after the abdominal pain began. A.W. has a history of 2 previous cesarean sections and chronic hypertension. The patient reports that her first cesarean section was for fetal distress. The second was a repeat cesarean section. A.W. is expecting to have a baby boy. Her 2 other children are girls, and they are 4 and 7 years old. A.W. is planning on breast feeding this baby and wants him to be circumcised. Chart View Assessment Vital signs: BP 98/60; HR 120 beats/min; R 24 breaths/min Oral temperature: 99.0° F (37.2° C) Pain: 9/10 Weight: 198 lb (90 kg); height: 5 ft, 4 in (163 cm) 1. Underline the assessment items that concern you at this time. 2. Based on A.W.’s assessment data, what do you think the possible cause is at this time? 3. What additional assessment data should you collect that would help determine the possible cause of A.W.’s abdominal pain and vaginal
SCIENCE
HEALTH SCIENCE
NURSING

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