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#1\u00a0 A 35 year old G1P0 is 20 weeks gestation with a past medical history of hypertension.\u00a0 Her pregnancy has been uneventful; however, at today’s appointment, her blood pressure was 150\/100mmHg at first check and 15 minutes later was still 136\/90 mmHg.\u00a0 She is also complaining of light-headedness and palpitations.<\/p>\n
\u00a0 \u00a0 \u00a0A.\u00a0 What actions would you take as her nurse?<\/p>\n
\u00a0 \u00a0 \u00a0B.\u00a0 What change should this patient be encouraged to do?<\/p>\n
\u00a0 \u00a0 \u00a0C.\u00a0 What are the expected outcomes?<\/p>\n
#2.\u00a0 The patient is a 17 year old female who arrives to the emergency department in active labor with a questionable past of obstetrical history.\u00a0 She indicates that she has had no prenatal care, does not remember her last menstruation period, and is evasive if this is her first pregnancy.\u00a0 Blood work indicates she is Rh negative.<\/p>\n
\u00a0 \u00a0 \u00a0A.\u00a0 What are some concerns you as her nurse should be prepared for?<\/p>\n
\u00a0 \u00a0 \u00a0B.\u00a0 What teaching does this patient need?<\/p>\n
\u00a0 \u00a0 \u00a0C.\u00a0 What are the expected outcomes for this patient?<\/p>\n
#3\u00a0 A 15 year-old female has come to the urgent care complaining about nausea, vomiting, and feeling tired all the time.\u00a0 Her complaints are vague, but the nurse is suspicious she may be pregnant when the girl mentions she is late for her period.<\/p>\n
\u00a0 \u00a0 \u00a0A.\u00a0 What nursing care will you provide to this young lady if she is pregnant.<\/p>\n
\u00a0 \u00a0 \u00a0B.\u00a0 \u00a0What nursing diagnoses will apply to this situation?<\/p>\n
\u00a0 \u00a0 \u00a0C.\u00a0 What are some expected outcomes?<\/p>\n
#4 A woman in labor has been progressing well with minimal difficulties.\u00a0 The nullipara woman has been working with her coach, progressing through the process.\u00a0 The fetal monitor has indicated that the fetus is in stable condition.\u00a0 Suddenly, the monitor alarm goes off and exam reveals a possible prolapsed cord.<\/p>\n
\u00a0 \u00a0 \u00a0A.\u00a0 What steps should you take as her nurse?<\/p>\n
\u00a0 \u00a0 \u00a0B.\u00a0 What care does the mother and infant need?<\/p>\n
\u00a0 \u00a0 \u00a0C. How would you evaluate that your interventions were helpful?<\/p>\n
#5\u00a0 Your patient is a petite 23-year-old G1P0 woman.\u00a0 Prenatal assessment has determined that this woman will need a cesarean birth due to cephalopelvic disproportion.<\/p>\n
\u00a0 \u00a0 \u00a0A.\u00a0 What can this patient and you as the nurse do prenatally to ensure a safe delivery?<\/p>\n
\u00a0 \u00a0 \u00a0B.\u00a0 What potential risks and\/or complications should the nurse be aware of and prepare for?<\/p>\n
\u00a0 \u00a0 \u00a0C.\u00a0 What postoperative care will this mother and\/or infant need?<\/p>\n \n
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