42 weeks of gestation get help at
42 weeks of gestation
Case Study: Mary is at 42 weeks of gestation. Her physician has ordered a biophysical profile (BPP). She is very upset and tells the nurse, “All that my doctor told me is that this test will see if my baby is okay. I do not know what is going to happen, or whether it will be painful to me or harmful for my baby.”
1. Describe how the nurse should respond to Mary’s concerns.
2. Mary receives a score of 8 for the BPP> List the factors that were evaluated to obtain this score, and specify the meaning of Mary’s test result of 8. 42 weeks of gestation
Case Study: Jan (4-2-1-0-2), age 42 is 18 weeks pregnant. Her primary health care provider has suggested an amniocentesis because of her age and a family history of a genetic disorder, both of which place Jan’s fetus at risk for genetic anomalies. Jan’s blood type is A negative and her partner’s, the father of her baby, is B positive. Describe the nurse’s role in terms of each of the following.
1. How will you prepare Jan for the amniocentesis?
2. What measures will you implement to support Jan during the procedure? 42 weeks of gestation
3. List the important post procedure care and instructions.
4. What are the indicators for the use of amniocentesis during pregnancy?
Case Study: Belle Cavillo, a 29 year old gravida 2, para 1, was diagnosed as having DM a yr ago. Her DM was controlled with low doses of insulin. When her pregnancy was diagnosed at 7 wks’ gestation, her glycosylated hemoglobin was 6.4% and her fastinig blood glucose (FBG) was 98 mg/dL. Belle missed her last two prenatal visits but states that she carefully followed her diet and insulin dosage schedule. Today’s FBG is 96 mg/dL and her glycosylated hemoglobin is 7.0%.
Did Belle maintain effective control? Yes ______ or No _____ Explain your answer: 42 weeks of gestation
Case Study: Before pregnancy, Mary’s BP was in the range of 110/68 to 120/70. She is 41 and this is her first pregnancy. Her BMI is 24 and she has a history of rheumatoid arthritis. She needed in vitro fertilization to get pregnant and is very excited about this pregnancy. In gestational week 22 her BP was 158/96 and 152/90. Her urine was 2+ for urine. What is the likely diagnosis? _________________________________________________________________
What are Mary’s risk factors for this condition? ______________________________________________________________________
List 4 oral antihypertensive medications to treat this condition?
What other health promotion instructions can the nurse give to the patient? 42 weeks of gestation
Mary was started on an oral antihypertensive, but her BP continues to rise to 162/112 and 170/110. Her 24 urine is 2.5 Grams.
Her labs are:
Hemoglobin = 8.5
ALT = elevated
AST = elevated
What is her diagnosis now? ______________________________________________________________________________
True or False Mary will have hyperreflexia. 42 weeks of gestation
True or False Polyuria will occur.
True or False Mary will most likely feel increased kicking from the fetus.
True or False Mary’s plasma uric acid will drop
True or False Mary will have hyperbilirubinemia.
Mary is admitted to the hospital and started on Magnesium Sulfate. What route is it given? _____________________________________________
What is the purpose of this medication? __________________________________________________
Nursing considerations when administering Magnesium Sulfate:
How will you give the medication?
How will the pt feel when initially receiving Magnesium Sulfate? 42 weeks of gestation
What will you monitor while the pt is on Magnesium Sulfate?
What would you do if toxicity of Magnesium Sulfate is suspected?
What other health promotion actions can the nurse take for this patient?