Question

What are some signs/symptoms of preeclampsia?

What are some common treatments that are done for preeclampsia?

What are some side effects of magnesium sulfate?

What are the top 3 priority nursing assessment findings for this patient?

1.

2.

3.

Interpret the Non-stress test:

-        Fetal baseline heart rate:

-        Variability:

-        Accelerations/Decelerations

-        Reactive or non-reactive:

Education:

Joan is expressing that she is concerned about what will happen to her and her baby. She wants to know whether she can attend her prom next weekend.Educate Joan on her condition, the dangers, and what to expect.

What were the concerning assessment findings you noticed when you entered a Joan’s room to answer her call light?

What were your top 3 NURSING interventions based on these assessment findings?

1.

2.

3.

Educate Joan on 3 different non-pharmacological pain management options. Teach her how to complete these non-pharmacological methods while she is in labor. Include how the pain management works and pros/cons of the pain management method.

1.

2.

3.

Educate Joan on 3 different pharmacological pain management options. Include how the pain management works and pros/cons of the pain management method.

What are your top 3 nursing assessments when the patient gets a remifentanil pump?

1.

2.

3.

What are your top 3 nursing interventions based on your assessment?

1.

2.

3.

Create an SBAR to the provider to notify him/her of the patient’s condition:

S:

B:

A:

R:

Answer 1

Pre-eclampsia is systemic disorder that occur in or near the third trimester of pregnancy defined by oedemas,preloteinuria,and hypertension

Sign of preclampsia

1.hypertension

2.proteinuria

3.oedeema

4acute fatty liv

Syndrome associated with pre clampsia

1. Eclmapsia-hypertension, encephalopathy,

2. Disseminated intravascular coagulation

3.microvascular angiopathy

4.HELLP sundrome-hemolysis, elevated liver enzymes, low platelet,

Common treatment

1.delievery

2.antiplatelet therapy

3.corticosteroids may be given

4.magnesium sulphate

Side effects of magnesium sulfate injection include:

• heart disturbances,
• breathing difficulties,
• poor reflexes,
• confusion,
• weakness,
• flushing (warmth, redness, or tingly feeling),
• sweating,
• lowered blood pressure,

Nursing assessment

1.first pregnancy.

2.interval between two pregnancy

3.pre clampsia in previous pregnancy

4.age of pregnant lady more then 20 less than 35

5.multiple pregnancy like singleton,twin or triplets

6.pre existing hypertension

7.pre existing renal disease