SR questions.docx - JESSICA SIMS A G2P1 at 32 weeks...

JESSICA SIMS
A G2P1 at 32 weeks gestation presents to the emergency department with
no history of prenatal care. She has sought out medical care for complaints
of a migraine-like headache that has persisted for the last 24 hours. She has
generalized edema especially in her face and hands. She is complaining of
“seeing spots” before her eyes and generally feeling ill. Vital signs are BP of
170/110, pulse 89, respiratory rate 20/min and oral temperature is 98.2 F. A
urine specimen taken in the ER shows 2+ protein. She states no pain or
discomfort in her abdomen and denies any sensations of contractions. She
states no present discharge or leakage of fluid vaginally.
Your selected action of "Admit to High Risk Antepartum Unit" ,
was CORRECT .
Explanation:
The patient needs to be transferred to a high-risk Antepartum unit to rule out
Preeclampsia and will require intensive assessment due to her lack of
previous prenatal care. She is at high risk for seizures. This is a high-risk
pregnancy with the signs and symptoms of Preeclampsia that are present as
well as a lack of prenatal care. She needs immediate assessment and
intervention to treat her condition.
"An antepartum fetal surveillance procedure carried out after 28 weeks
gestational age exam. By fetal heart rate monitoring and the mother