Two presumptive and two positive signs of pregnancy

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Reference no: EM133921672

Question

Usha is 30-year-old female that just had her 18 week routine anatomy ultrasound. The fetal heart rate is heard, and the physician informed her that there were some "soft markers" for Down Syndrome and that genetic amniocentesis is available, if she wants to have it done. She has two sets of twin daughters that were born at 38 and 39 weeks gestation and 11 year old son who was born at 32 weeks gestation. According to Usha her son "was not very pleased to hear that another baby will be in the house". No history of abortions or miscarriages. She is 5'6 and weighs 140 lbs. She had gestational diabetes with all her pregnancies. She states her mom has hypertension. She is complaining of vaginal discharge, urinary frequency, tiredness, fatigue, headaches, and trouble concentrating. She also says she started to feel the baby move. Her hemoglobin (Hgb) of 90 g/L. Blood Glucose is 9.6 mmol/L. BP 105/68 P73 RR 19 T 36.8 C.

Determine Usha's obstetrical history according to the GTPAL method.

What are the two presumptive and two positive signs of pregnancy for Usha.

Usha complains of vaginal discharge, headaches, tiredness, and trouble concentrating. What are some reasons for these symptoms?

Usha ultrasound shows that the fetus has soft markers. How can the nurse explain the "soft markers" for Down syndrome to her?

What counselling should Usha receive about amniocentesis?

When Usha reaches 24 weeks gestation, how many centimeters should the fundus measure from the symphysis pubis? What does it mean if the measurement is lower than expected?

How would you respond to Usha when she asks about her BP being 105/68?

List two top teaching priorities for Usha.

Complete the nursing care plan, see below. List 1 (one) priority nursing diagnosis, 1 (one) expected outcome, 2 (two) interventions with rational for Usha.

Reference no: EM133921672

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