OB Simulation:
Becca Roberts
G____T__P__A__L__
EGA____
Pre-pregnant Weight_150 Current Weight_142 or 151? lbs
%Weight Loss_8lbs. 1.
Describe Becca’s psychosocial/education/occupation history:
Cashier at a fast food restaurant, has a GED and is single. She is very anxious and feels depressed. Everything else WNL. 2.
Review prenatal visits. a.
Which sexually transmitted infections has Becca been treated for ? Gonorrhea, Chlamydia, HPV b.
What drugs or substances was Becca using prior to becoming pregnant? Tobacco, marijuana, cocaine, 3.
Review Becca’s lab results (Blood work & Urinalysis from Wed 0600 ). Which abnormal or borderline abnormal lab results are consistent with her diagnosis of hyperemesis?
Elevated AST/ALT, positive ketones, electrolyte imbalance 4.
Describe the signs and symptoms of hyperemesis gravidarum. Severe and persistent nausea and vomiting, Dehydration, Weight loss, Nutritional deficiencies, Electrolyte imbalance, Fatigue and weakness, Dizziness and fainting, Rapid heart rate
5.
Identify pharmacologic and non-pharmacologic treatment for hyperemesis.
Pharmacologic
Non-pharmacologic
Zofran Fluids, eats small frequenct meals LR
Promethazine Zoloft Social work consult Metoclopramide 6.
Complete the following medication chart:
Generic Name
Trade Name
Indication
Class
Normal Dose Range
Side Effects
Administration/
Nursing Actions
Metoclopramide
Reglan Nausea/ vomiting Antiemeti
cs 10-20 mg ESPEs
NMS
Anaphy
laxis Resp status Fall precautions
