History of mild preeclampsia conservatively treated

Reference no: EM133729713

Question

Renee is a 40 year old (G 1 T 0 P 0 A 0 L 1) at 37 weeks gestation. Renee is admitted to triage with a history of mild preeclampsia conservatively treated at home with activity limitation, low salt diet and self-monitoring of B/P, urine for protein and weight. Renee complains of sudden onset of constant sparkling spots in her vision, stronger, more frequent headaches and constant nausea with severe heartburn pain; Renee holds her hand over her right ribs, the uterus is firm with contractions palpated every 2-3 minutes, lasting 60-90+ seconds. Her assessment revealed B/P 172/118 (pre-pregnant normal 108/70), P 88, R 18, +4 protein in urine, +3 edema to hips, reflexes +3, and 4 beats of clonus. Leopold's maneuvers suggest the fetus is small for dates but head down. Upon examination the nurse notes dark red vaginal bleeding. FHT 132-140 with spoon-shaped decelerations to 126-128 after contractions onset and slow return to baseline. Renee's sterile cervical exam (SVE) reveals cervix to be soft, 2-3 cm dilated and 30% effaced with the fetal head at a -2 station. What complication would the nurse suspect Renee presents with at this time? What intervention is needed for Renee and.

Reference no: EM133729713

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