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A 38 y.o. mother is in active labor. On assessment, the nurse obtains the following data:...

A 38 y.o. mother is in active labor. On assessment, the nurse obtains the following data: BP 200/140; T 98.9, P 90, R 21, urine protein 3+. The mother complains of dizziness and blurred vision. 1. Based on these findings, which data will the nurse report to the RN? Include rationales. 2. What condition(s) do you suspect this woman is developing? 3. What orders will you anticipate the physician ordering? Include rationales. 4. What nursing interventions will your incorporate into your plan of care? Include rationales.

Solutions

Expert Solution

1.

  • Age is greater than 35 years
  • Hypertension(200/140).
  • Excessive protien in urine
  • Dizziness and blurred vision

2.Basedon above observation she was developing Pre-eclampsia.

3.

  • Delivering the fetus can help resolve preeclampsia.In most cases, this prevents the disease from progressing.
  • Control her blood pressure to decrease blood loss during labor.
  • Blood pressure medicine to lower your pressure levels
  • Anti-seizure medicine, such as magnesium sulfate, to prevent seizures (one of the most common risks of postpartum preeclampsia).
  • Anti-coagulant (blood thinner) medications to reduce the risk of blood clots.
  • In most cases of pre-eclampsia, having your baby about the 37th to 38th week of pregnancy is recommended.
  • This may mean that labour needs to be started artificially or you may need to have a caesarean section.

4.

  • Closely monitored her blood pressure
  • blood tests for platelet counts and to check liver and kidney function
  • urinalysis to check protein levels
  • It's recommended to don't discharge until the symptoms of it resolved.

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