Reference no: EM133495465
CASE SCENARIO
Mia, a 33-year-old married female is currently 21 weeks gestation with an obstetrical history of G3T1P0A1L1. She has a three-year-old son and suffered one miscarriage in 2015. She had gestational hypertension and postpartum depression with her son. Mia is a non-smoker and walks four to five times a week. Mia's pre-pregnancy BMI was 28 and she has gained 15 pounds so far in this pregnancy. Currently, Mia is suffering from fatigue, nausea, and vomiting - which are different symptoms from her first pregnancy. During her prenatal appointment, Mia asked many questions and communicated her obstetrical history and new symptoms without concern. She is receptive to patient teaching about best practices to maintain a healthy pregnancy. Mia has expressed some concern about ongoing nausea and vomiting with this pregnancy. When assessed, she states it comes and goes for the most part of the morning and at times around dinner. She is not losing weight and is able to drink, but it still bothers her. She is also asking about how she can maintain a healthy diet during this pregnancy. Her current pregnancy was confirmed by ultrasound at 11 weeks gestation and the fetal heart rate at this visit is 158bpm. She has had routine blood work such as CBC, type and screen, and an iron panel. Her type and screen results are AB negative. All other lab results are not yet available.
1. Discuss the three blood circulation shunts in a fetus before birth and the function of each shunt.
2. Describe the function of the four placental hormones.
3. Mia's last known menstrual period was December 3rd 2022. What is her Estimated Date of delivery (EDD)? Show your work.
4. Explain isoimmunization to Mia as it relates to her blood type using lay terms. (3 marks)
5. Identify the priority timelines for medication intervention as it relates to Mia's blood type.
6. Compare and contrast: pregnancy-induced hypertension, pre-eclampsia and eclampsia. Include all relevant details.
7. Identify three priority signs and symptoms of pregnancy-induced hypertension based on 21 weeks gestation. Include three examples of patient teachings you would provide Mia based on these signs and symptoms and her history
8. List four anticipated interventions as they relate to diagnosed pre-eclampsia.
9. Using lay terms in your teachings, recommend to Mia two non-pharmacological nursing interventions for the management of nausea and vomiting in pregnancy.
10. Describe four priority discharge teachings that you will give Mia at the end of the appointment.