Reference no: EM133541342

PATIENT PROBLEM SCENARIO:

Amy is a healthy 28-year-old female, Gravida 2 Para 1001, who presents to the provider's office at 33 weeks' gestation complaining of a 3-day history of severe headaches and blurry vision. She reports normal fetal movement. Vital signs were assessed with BP measuring 160/100. Examination reveals a soft non-tender abdomen, 2+ DTRs, and absent clonus. Urinalysis shows 2+ proteinuria. Amy's provider diagnoses her with preeclampsia and admits her to the hospital's high-risk antepartum unit for further testing, fetal surveillance, and expectant management.

Question 1: Write down the pathophysiology for preeclampsia.

Question 2: Write down 6 signs and symptoms of preeclampsia

Question 3: Please write down 5 SHORT-TERM SMART GOALS FOR THE PATIENT ABOVE WITH INTERVENTIONS USING ONE SENTENCE) Each SMART goals should be specific. An example of a specific smart goal with interventions would be something like this: "Reduce patients headache intensity from 9/10 to 4/10 within one week through a combination of pain management interventions, including medication, relaxation techniques, and lifestyle modifications."

Question 4: Please write down 5 LONG-TERM SMART GOALS FOR THE PATIENT ABOVE WITH INTERVENTIONS USING ONE SENTENCE) Each SMART goals should be specific. This one needs to be long term specific smart goals

Question 5: What nursing interventions would you implement for Amy? (Specific interventions

Question 6: (describe/define/discuss how the nurse will evaluate the effectiveness of the interventions implemented above. Provide a comprehensive overview of what signs will point to improving, declining, and unchanged status).

Question 7: Expectant management or serial assessments and testing for Amy.

Question 8: Pharmacology management (include at minimum labetalol, hydralazine, betamethasone, magnesium sulfate, and calcium gluconate) Describe each medication use, desired effects, and adverse reactions. Are any pre-assessment required before administering each medication?

Question 9: What activity level are appropriate for Amy's condition?