Rule out preeclampsia doctor orders include bed rest

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Reference no: EM133923035

Question

1. Maria a 38 year old primigravida presents to the health care provider's office for a scheduled prenatal visit at 28 weeks gestation during the data collection Maria comments that she must be eating more that she thought because she gained 5 LB during the course of 2 days her blood pressure is 150/92 mm Hg while sitting.

a. What should the nurse ask next? Why?

b. What additional information should be collected?

c. Based on this data, what management plan is the health care provider likely to implement?

2. Maria is admitted to the hospital to rule out preeclampsia the doctor's orders include bed rest with bathroom privileges, regular diet, private room, limit visitors, 24-hour urine specimen for protein and creatinine clearance, complete blood count, blood urea nitrogen and creatinine levels, liver profile and coagulation studies.

a. How should the nurse prepare the room for Maria?

b. If Maria has preeclampsia, what results does the nurse anticipate to see on the laboratory report for each test?

c. Why did the doctor write an order for a private room and to limit visitors?

3. Julia a gravida 2 para 0 just found out that her fetus is in a breech position at 36 weeks gestation Julia is afraid that she will have to have a cesarean delivery. What options does Julia have in this situation?

4. Julia's pregnancy proceeds to 39 weeks gestation she presents to labor and delivery because her ''water bag broke'' after the midwife confirms that the membranes have ruptured she explains to Julia that the plan is for Julia and her husband to wait in the hospital until labor begins Julia wants to know why she and her husband can't just go home to wait for contractions to begin.

a. How do you reply to Julia?

b. What nursing interventions will you plan for Julia during the wait before labor begins?

c. How would your care be different if Julia were at 30 weeks gestation with ruptured membranes versus 39 weeks?

5. Kimberly has been receiving Tocolytic terbutaline for the past 12 hours you are taking Kimberly's vital signs at the beginning of your shift you notice that her pulse is 130 and blood pressure is 88/50 mm Hg when you ask her how she is feeling she replies ''i feel out of breath and i have a feeling of pressure in my chest'' what should you do?

Reference no: EM133923035

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