By turning Jennie to a lateral position and using a pillow to hold that position, a patent airway can be maintained, the aspiration of vomitus minimized, and supine hypotension prevented. Uterine contractions are occurring every 4 to 5 minutes and they are moderate quality upon palpation. A Cord compression is occurring due to oxytocin crossing the placenta. However, the magnitude of proteinuria was disproportionate for blood pressure elevation. In the other age groups no statistically significant association was found between the disease and the protective measure. The district covers a population of about 4.
Increasing the oxytocin will increase uterine contractions that could further stress the fetus. While no longer considered a diagnostic measurement of preeclampsia, generalized edema of the face, hands, and abdomen that is not responsive to 12 hours of bedrest is often present. Complaints of scotoma began about 5 minutes ago. Jennie is crying with each contraction and requests something for pain. In addition, Jennie is on bedrest with bathroom privileges, which does not include sitting up in a chair. B Hyporeflexia and irregular respirations. Since completion of a reactive nonstress test, no further accelerations have occurred.
Hemodialysis is Hesi Case Study Answers Preeclampsia not practical within the procedure of benzodiazepine overdose. Virtually all organ systems are affected by this disease, and the mother and fetus suffer increasing risk as the disease progresses. Jennie Smith is a 15-year-old female client who is a gravida 1, para 0 at 36 weeks gestation by both estimate date of birth and ultrasound. While no longer considered a diagnostic measurement of preeclampsia, generalized edema of the face, hands, and abdomen that is not responsive to 12 hours of bedrest is often present. Cases were defined as women having a normotensive term pregnancy, delivery and initial postpartum period 48 h post-delivery but developing hypertension between 48 h and 6 weeks postpartum.
Although only calcium is routinely used during prenatal control in many countries, given its undoubted utility as nutritional intervention, its use alone to prevent preeclampsia has had contradictory results since 2001 ,,. The risk of pre-eclampsia was 4. The nurse is aware that continued magnesium sulfate puts Jennie at risk for postpartum hemorrhage even though Pitocin is infusing. Her 17-year-old boyfriend has been involved throughout the pregnancy. Body mass index, homeostatic model assessment index, and incidence of metabolic syndrome were determined. B Late decelerations of the fetal heart rate in response to fetal movement.
Late decelerations are characterized by a gradual decrease form the baseline that begins after the contraction has started and does not return to baseline until after the contraction ends. Medicate lactating client improves psychological 45—60 min before breastfeeding. There are genuine differences in the incidence of hypertensive disorders of pregnancy in the populations of Southeast Asia and the fact that these are not caused by underlying differences in the baseline blood pressures in these populations. A Molar pregnancy, history of preeclampsia in previous pregnancy. The client complains of a pounding headache for the last 12 hours unrelieved by acetaminophen Tylenol , swollen hands and face for 2 days, and epigastric pain described as bad heartburn. What should the nurse tell Jennie? Past medical history was significant for surgery for recurrent sinusitis during childhood. Six variables were significantly associated with pre-eclampsia in multivariate logistic regression analysis after adjustment for confounding variables.
D Late decelerations of the fetal heart rate in response to uterine contractions. As with the mother magnesium is cleared through the kidneys. At 20 weeks of gestation, the blood pressure begins to gradually increase and return to 1st trimester levels at term. Hydralazine, labetalol, and nifedipine are all considered first-line medications for the acute treatment of severe hypertension in pregnancy. In the early 1990s aspirin was thought to be the wonder drug in secondary prevention of pre-eclampsia. C When the nurse palpates a contraction's beginning, take three shallow breaths and hold the breath for as long as possible while bearing down without allowing air to escape. I further counseled them on the need for immediate intervention and close observation to avoid fitting which may endanger her life and that of her baby which they did not object.
They continue to be a major cause of maternal, foetal and neonatal morbidity and mortality Fraser and Cooper, 2009. Since this was a hospital-based unmatched case control study, it can be biased to a certain extent. Past social history She associate easily with people, takes alcohol sparingly and does not smoke cigarette. The man being a vulcanizer and the wife as a petty trader generate enough income for the house up keep. With our help, your homework will never be the same! Empezar la suplementación de calcio en la semana 14 de gestación es indicada para prevenir la enfermedad. B Increased perfusion to the brain.
Jennie is in the right lateral position with the head of the bed slightly elevated. Magnesium is continued for at least 12-24 hours. Hypertensive disorders of pregnancy represent the most significant complication of pregnancy affecting approximately 5% of all pregnancies and 11% of all first pregnancies. Seventy-eight patients required antihypertensive medications on discharge. As fluid shifts out of the intravascular compartment, a decrease in plasma volume and subsequent increase in hematocrit is seen. The lower overall risk of pre-eclampsia among parous women was not explained by fewer conceptions among women who had had pre-eclampsia in a previous gestation. The postpartum period also provides a window of opportunity for planning for the next pregnancy in addition to discussing long term implications of pre-eclampsia.