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primary Concern and Treating the Symptoms of Obstetrics Case Study

primary Concern and Treating the Symptoms of Obstetrics Case Study

Question Description

Karen 30 y/o G1 P0 is 32 weeks gestation. She developed preeclampsia at 28 weeks and has been home on modified bed rest. A home health nurse visits her twice a week and calls her daily.

The home health nurse makes a home visit. Karen tells her “I have a terrible headache and hardly slept last night. I took Tylenol and got no relief.” The nurse asks about other symptoms, Karen replies, ” My vision is blurry, I’m seeing spots and my stomach hurts.” Karen’s BP 154/100, she has pitting edema in her legs, and her first void tested 3+ for protein. The nurse calls the physician who decides to admit her to L&D immediately. At the hospital Karen continues to c/o severe headache with seeing spots. Physical assessment: BP 160/110, 4+ DTRs, 3 beats of ankle clonus. The electronic monitor reveals fetal heart rate 145 with minimal variability and periodic late decelerations, irritable uterine contractions.

  1. What is the primary concern or client need in this situation? Support answer with the data in the case. (10 points)
  2. List other client needs/problems in the case. (10 points)
  3. Identify any additional information or assessment data that is needed by the nurse in planning care for this client? (10 points)
  4. What nursing actions are appropriate? What is the priority nursing action? Describe other nursing interventions that are important to providing optimal care. (10 points)
  5. Describe the roles/responsibilities of the interprofessional health care team members who may be involved in providing care. (10 Points)

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