NR 283 Quiz 2
Name
Chamberlain University
NR-327: Maternal-Child Nursing
Prof. Name
Date
| Name | Your Title | Reason for Being There | Clinical Date | Time |
|---|---|---|---|---|
| K.K. | Student Nurse | Clinical | 05/02/xx | 08:88am |
| Patient Initials | Age | Gravida | Term | Preterm | Abortion | Living | EDC | LMP | Gestational Age | Singleton | Reason for Admit | Fetal Movement | Membrane Status |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| K.K. | 25 | G1 | T0 | P0 | A0 | L0 | N/A | N/A | 27 weeks | Singleton | Sudden increase in weight gain, nausea, vomiting, blurred vision, headache | Present | Intact |
| Date | Time | Fluid Color | Allergies | Attending Physician |
|---|---|---|---|---|
| 05/02/2018 | 1:30pm | N/A | No known allergies | Dr. Hunt Kelly |
| Previous Pregnancies | Year | Type of Delivery | Labor Length | Complications | Prenatal Care | GBS Status | Breastfeeding |
|---|---|---|---|---|---|---|---|
| N/A | N/A | N/A | N/A | N/A | Yes | Negative | N/A |
| Labs | Complications | Past Medical History | Social History | Family Support | Home Medications |
|---|---|---|---|---|---|
| Rh antigen, CBC, Urinalysis, CMP, blood type, uric acid | Preeclampsia | N/A | N/A | N/A | Prenatal vitamins |
| Time | Temp | B/P | HR | RR | SpO2 | Pain | FHTs |
|---|---|---|---|---|---|---|---|
| 1:45pm | 36.9°C (98.4°F) | 162/98 | 92/min | 22/min | 92% | 8/10 | 140 |
| 12:00pm | 37.0°C | 160/100 | 100 | 24/min | 97% | 8/10 | 120 |
| 12:20pm | 37.0°C | 162/100 | 94 | 22/min | 97% | 8/10 | 124 |
| Onset | Stage/Phase | Vaginal Exam | Blood/Fluid | Planned Method of Delivery | Fetal Heart Rate Pattern | Contraction Pattern | Frequency | Duration | Strength | Labor Progress |
|---|---|---|---|---|---|---|---|---|---|---|
| N/A | N/A | __/__/__ | N/A | Vaginal | Reassuring | N/A | N/A | N/A | N/A | N/A |
| Maternal Physical Assessment | IV Fluids | Current Medications | Labs | Activity |
|---|---|---|---|---|
| Urine protein present, Deep tendon reflexes (Achilles) 3+ bilaterally, reported right upper quadrant pain, nausea, vomiting, blurred vision, headaches, visual disturbances, epigastric pain, facial and pedal edema 3+ | Lactated Ringers 125ml/hr | Prenatal vitamins, hydralazine 5mg, magnesium sulfate 4g IV bolus, magnesium sulfate 2g/hr, sodium chloride, calcium gluconate 1g IV bolus, hydralazine 5mg IV bolus | Urinalysis, 24-hour urine collection for protein, CBC, MCP, blood type, AST, uric acid, Rh antigen | Bed Rest |
Based on the patient’s history, presenting symptoms, lab values, and medications, the patient should be closely monitored for worsening preeclampsia. Fetal monitoring should continue to assess heart rate patterns and movement. The patient should remain on bed rest with IV fluids administered, and blood pressure should be regularly checked. Continue administering prescribed medications and monitor for side effects.
American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.).
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