Hello there,Hope you are having a great day. As i promised to you i am going to try my best to come as fast as possible with a final version for your homework. I am sending this message to inform you that i attached 4 Microsoft Office Word ( .docx format) filed which contains your study cases completed.File : Study Cases all of them - contains all the 3 study cases in 1 fileFile : Obstetric and Gynecologic Surgery Study Case - contains only the O.G caseFIle: Ophtalmic Surgery Study Case - contains only the Opthalmic caseFile: Otolaryngology Surgery Study Case: contains only the otolayngolgoy case.Was not sure if you need all the cases in 1 file or each of them in a sepparate word file so did it in both ways so you can select which one is the best for you. It was written in APA format and the last page is a reference page which contains all the soruces used ( 90% of the questions were done based on the textbook provided by you , but some information where gathered from outer sources in order to ensure a quality work).Please take a look at it and tell me if you have any questions or if you need my to change anything ^^. Very interesting cases, especially the o.g one !

Surgery Cases

Surgery Study Cases
(Obstetric and Gynecology, Ophthalmic, Otolaryngology)

SURGERY STUDY CASE

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Surgery Study Case

Study Case 1:
Shannon is a 23-years old primipara who has just been admitted to the labor and delivery unit Room 3 for
Dr. Templeton. She has had a normal pregnancy, and sonograms confirm only one fetus with a cephalic
presentation. Her cervix is dilated to 4cm and 40% effaced. Her blood type is AB negative.

1. How long, on average, would you expect her labor to continue?
Taking into consideration that our patient is at her first pregnancy and that her cervix is dilated to
4cm we would consider it being the first stage of the labor that should take between 6-18 hours.
Once the cervix is dilated to 10 cm it enters the second stage.

2. Using Table 15-5 in the textbook, list the information that is to be recorded on the monitoring
board.
The following information should be recorded on the monitoring board of our patient : Room (3),
Doctor (Templeton), Gravida/Parity (1/1), Dilation ( 4 cm), Effacement ( 40%), Station (0) ,
Care Notes : Negative RH

3. During stage two, the fetal heart tones begin to slow and do not increase. The physician is
notified and he orders a stat cesarean section. Why?
Stage two represents the period of time after the cervix is dilated to 10 cm and lasts until the
baby is delivered. The decrease in the fetal heart tones without any signs of increasing shows us
that this is an emergency situation and the baby needs to be taken out as fast as possible. In order
to make sure the procedure takes less time than in the case of natural birth and that the baby

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undergoes less stressful maneuver it is recommended for the patient to undergo a cesarean
section.
4. The mother is placed on the OR table. Describe her position. Why dose she need a Foley
catheter?
Taking into consideration that our patient is undergoing a C-section procedure, she will be
placed in supine position with roll placed under the right hip. This will result in a reduction of
the uterine pressure on the vena cava. Also, a Foley catheter will be used in order to ensure that
the bladder is as empty as possible.

5. The surgeon makes an incision into the uterus and completes the delivery of the baby’s head.
How is the sterile field prepared for imminent delivery of the fetus? What is the first thing you
will give the surgeon once the head is delivered?
Once the baby’s head is completely delivered the first action is to suction the mouth and nares of
the fetus in order to stimulate the breathing process and avoid the amniotic liquid entering the
lungs. Also, all metal or sharp objects need to be removed from the field before elevating the
baby’s head. Mayo scissors or Lister bandage scissors should be given to the surgeon in order to
ensure the clamping and also cutting process of the umbilical cord.

6. The umbilical cord is clamped and cut. The baby is passed off the field. What is done next?
Once the baby is passed off the field, the pediatricians or the neonatal nurse will take care of
them, meanwhile, we should ensure that the field is still sterile and make sure that the placenta is
delivered and inspected.

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7. After delivery of the placenta, the surgeon asks you to look at it. What are you looking for and
why?
Once the placenta was delivered, we are going to make sure that it was delivered completely and
that no part of it remained inside the uterus. In case any membrane or part of it is retained in the
uterus, we might be facing a postpartum hemorrhage or infection. Any signs of abnormalities
should raise questions about possible pathologies. In some cases, the placenta might be needed to
be sent to histology.

8. After the baby is born, the mother is given injection of RhoGAM and Pitocin, Why?
RhoGAM is an immunoglobulin which is administrated to mothers who are known for having a
negative RH blood type ( as it is our case). This will prevent the sensitization of the maternal
immune system so in case there will be a second pregnancy with a Rh-positive baby to a...