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What additional assessments are indicated

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Reference no: EM133582393

Case Study: TINA is a 16 year old primigravida who is currently a high school sophomore and lives at homewith her parents. She is 32 weeks pregnant and presents to labor triage with complaints of headache &lower back pain with abdominal cramping for the past 2 hours prior to arriving at the hospital.Maternal vital signs BP 130/84, PR 90, R 20, T 98.8. The client states "I want to have the baby NOW. I'mtired of being pregnant I want to go out with my friends and party.Cervical exam is 1/70/VTX/-1, with the monitor showing irritability. Fetal heart rate 150 bpm.

Questions:

  • What additional assessments are indicated?
  • What are some of your concerns for this client, include risk factors?
  • One hour later, Tina, complains of increased contractions and more back discomfort. Her cervical exam
  • Is 3/100/VTX/0, contractions are noted every 3-4 minutes lasting 50- 60 seconds, moderate intensity.
  • What orders do you anticipate receiving from the doctor?
  • What are the nursing responsibilities associated with surveillance of each of these medications?
  • What teaching needs to be performed immediately for this client, include psychosocial?

Reference no: EM133582393

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