Preeclampsia case study
You received a report on J.F, an 18-year-old woman, gravida 1 para 0, at 38 weeks’ gestation. She felt fine until 2 days ago when she noticed swelling in her hands, feet, and face. She complains of a frontal headache, which started yesterday and has not been relieved by acetaminophen (Tylenol) or coffee. She says she feels irritable and doesn’t want the “overhead lights on.” Her physician is admitting her for the induction of labor. You begin to assess her.
- Based on the assessment data you have obtained so far, what do you think is happening to J.F. at this time? What other assessment questions should you ask her at this time?
- What information should you obtain from her obstetric record? What laboratory values should be considered at this time.
- Name at least three possible maternal and three possible fetal complications with J.F.’s diagnosis.
- What risk factors does J.F. have that cause her to be at risk for this condition?
- Identify eight measures/nursing interventions that would likely be implemented.
- J.F. asks you, “Why am I getting magnesium now?” Explain your answer.
- As you monitor J.F., you observe for signs of magnesium sulfate toxicity. Describe the signs of magnesium toxicity
- Four hours later, a serum magnesium level is drawn, and the results show 7.8 mEq/L. Does this result need to be reported to the physician? If so, what would you prepare to do? Is there an antidote for magnesium sulfate?
- Complete the Care plan below for J.F.
Pathophysiology Priority Nursing Diagnosis Nursing Goal Nursing Intervention Outcomes/Evaluation
10.Watch this YouTube video https://www.youtube.com/watch?v=gOvvE9XsT-o, and write 1-2 paragraph recap of the events in the video. Demonstrate understanding of signs and symptoms of pre-eclampsia, management of pre-eclampsia. Describe how the video made you feel about the diagnosis in the postpartum period.