Expert answer:Obstetric and Gynecologic Surgery Study Case

Expert answer:Answser some questions about surgery.Answser some questions about surgery.Answser some questions about surgery.
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Assessment Rubric: Please complete the case study in APA format
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Restate Case Study in your own words
Provide in depth answers for each question based on text reading, may include
outside resources (citations included)
APA format including reference page and in-text citations
Proper spelling and grammar
TOTAL POINTS EARNED
Please complete the case study in APA format
2 Pts
14 Pts
2 Pts
2 Pts
Surgical Technology for the Surgical Technologist (Fourth edition)
Chapter 15 Obstetric and Gynecologic Surgery P. 511-591
Case study 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?
2. Using Table 15-5 in the textbook, list the information that is to be recorded on the monitoring board.
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?
4. The mother is placed on the OR table. Describe her position. Why dose she need a Foley catheter?
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?
6. The umbilical cord is clamped and cut. The baby is passed off the field. What is done next?
7. After delivery of the placenta, the surgeon asks you to look at it. What are you looking for and why?
8. After the baby is born, the mother is given injection of RhoGAM and Pitocin, Why?
9. How many counts are taken during cesarean section and why?
Chapter 16 Ophthalmic Surgery P. 595-629
Case study 2
Susan is admitted to the hospital for eye surgery. She was diagnosed in childhood with diabetes and is now 50 years old.
Susan also has been diagnosed with retinopathy, a frequently occurring condition in diabetic patients. Her vision has
been deteriorating over the last several years. She has recently suffered a vitreous hermorrhage due to
neovascularization of the eye, which is common in diabetic patients.
1. What procedure will be performed to resolve the problem?
2. Briefly describe the procedure, and explain how Susan will benefit.
3. What are the possible approaches that the surgeon may use to enter the eye? Which is preferred?
4. What piece of equipment is crucial to a vitrectomy?
5. What substance, if any, will be used to replace the vitreous humor?
Chapter 17 Otorhinolaryngologic Surgery P. 630-699
Case study 3
Stan, a 46 year old man, is about to spend the night in the “ sleep lab”. After numerous complains from his wife that his
heavy snoring is keeping her awake, Stan visited his primary care physician. Following a complete physical, Stan was
diagnosed with hypertension and obesity, and he was referred to an otorhinolaryngologist.
1. What tests will Stan under go in the “sleep lab”?
2. What diagnosis do you think that the otorhinolaryngologist is considering?
3. What are Stan’s conservative treatment options?
4. If Stan’s condition eventually requires surgery, which procedure will be performed, and what structures will be
removed?
5. Critical thinking and application of previous learning : If the laser is used for the procedure, what hazards and
precautions will need to be considered by the surgical technologist.
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