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Family Nursing II

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Antepartum Testing Case Study (45 min)

Antepartum Testing Case Study (45 min)

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Outline

A 38-year-old female is 27 weeks pregnant and hasn’t felt the baby move as she has been. The vital signs are as follows:

HR 110 bpm

RR 20 bpm

BP 98/55 mmHg

Temp 97.6°F

Fetal HR 133

The doctor has ordered a non-stress test due to the mothers age and the decrease of fetal movements. The nurse explains the procedure to the patient and prepares her to begin testing.

Critical Thinking Check

Bloom's Taxonomy: Comprehension

How many transducers does the nurse need?

VIEW ANSWER

Critical Thinking Check

Bloom's Taxonomy: Application

What instructions does the nurse need to give the patient?

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The testing is underway and the patient presses the button. The nurse notes the fetal heart rate has stayed at 130 bpm and has not changed. This happens 2 more times with the same results.

Critical Thinking Check

Bloom's Taxonomy: Analysis

What do these results this mean? What are the implications?

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The doctor decides to further testing by performing a contraction stress test. The nurse knows that she needs to prepare the patient for this by explaining the medication and how it will feel.

Critical Thinking Check

Bloom's Taxonomy: Analysis

What medication is given during a contraction stress test? How would you explain this procedure and medication to the patient?

VIEW ANSWER

Critical Thinking Check

Bloom's Taxonomy: Comprehension

Does the nurse need to get any additional equipment to perform this test?

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The patient is prepared and the Pitocin is administered. The patient presses the button and the nurse notes on the fetal heart monitor that the heart rate has risen to 150 bpm. This result is confirmed 2 more times.

Critical Thinking Check

Bloom's Taxonomy: Analysis

What does this test result mean?

VIEW ANSWER

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Family Nursing II

Concepts Covered:

Newborn Complications
Pregnancy Risks
Labor Complications
Medication Administration
Newborn Care
Prenatal Concepts
Labor and Delivery
Prenatal and Neonatal Growth and Development
Postpartum Complications
Postpartum Care
Fetal Development
EENT Disorders
EENT Disorders
Neurologic and Cognitive Disorders
Musculoskeletal Disorders
Immunological Disorders
Hematologic Disorders
Cardiovascular Disorders
Respiratory Disorders
Gastrointestinal Disorders
Shock
Noninfectious Respiratory Disorder
Cardiac Disorders
Studying
Infectious Disease Disorders
Renal Disorders
Renal and Urinary Disorders
Disorders of Pancreas
Integumentary Disorders

Study Plan Lessons

Nursing Care Plan (NCP) for Neonatal Jaundice | Hyperbilirubinemia

Preeclampsia (45 min)

Emergent Delivery (OB) (30 min)

Tips & Advice for Newborns (Neonatal IV Insertion)

Tips & Advice for Pediatric IV

Ectopic Pregnancy Case Study (30 min)

Antepartum Testing Case Study (45 min)

Labor Progression Case Study (45 min)

Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia

Growth and Development – Prenatal

Growth & Development – Neonate

Nutrition in Pregnancy

Antepartum Testing

Eye Prophylaxis for Newborn (Erythromycin)

Rh Immune Globulin (Rhogam)

Meds for PPH (postpartum hemorrhage)

Uterine Stimulants (Oxytocin, Pitocin)

Magnesium Sulfate

Betamethasone and Dexamethasone

Meconium Aspiration

Newborn of HIV+ Mother

Fetal Alcohol Syndrome (FAS)

Addicted Newborn

Erythroblastosis Fetalis

Hyperbilirubinemia (Jaundice)

Retinopathy of Prematurity (ROP)

Newborn Reflexes

Body System Assessments

Newborn Physical Exam

Initial Care of the Newborn (APGAR)

Postpartum Hemorrhage (PPH)

Postpartum Hematoma

Postpartum Discomforts

Postpartum Interventions

Postpartum Physiological Maternal Changes

Precipitous Labor

Abruptio Placentae (Placental abruption)

Placenta Previa

Prolapsed Umbilical Cord

Premature Rupture of the Membranes (PROM)

Obstetrical Procedures

Fetal Heart Monitoring (FHM)

Leopold Maneuvers

Mechanisms of Labor

Process of Labor

Fetal Circulation

Fetal Environment

Fetal Development

Fertilization and Implantation

Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate

Infections in Pregnancy

Hyperemesis Gravidarum

Hydatidiform Mole (Molar pregnancy)

Ectopic Pregnancy

Disseminated Intravascular Coagulation (DIC)

Cardiac (Heart) Disease in Pregnancy

Anemia in Pregnancy

Gestational Diabetes (GDM)

Acute Otitis Media (AOM)

Cerebral Palsy (CP)

Reye’s Syndrome

Spina Bifida – Neural Tube Defect (NTD)

Systemic Lupus Erythematosus (SLE)

Sickle Cell Anemia

Iron Deficiency Anemia

Congenital Heart Defects (CHD)

Vitals (VS) and Assessment

Cleft Lip and Palate

Intussusception

Cystic Fibrosis (CF)

Defects of Increased Pulmonary Blood Flow

Defects of Decreased Pulmonary Blood Flow

Obstructive Heart (Cardiac) Defects

Mixed (Cardiac) Heart Defects

Cyanotic Defects Nursing Mnemonic (The 4 T’s)

Pediatric Vital Signs (VS)

Nursing Care and Pathophysiology for Asthma

Asthma management Nursing Mnemonic (ASTHMA)

Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)

Nursing Care and Pathophysiology for Valve Disorders

Rubeola – Measles

Varicella – Chickenpox

Pertussis – Whooping Cough

Influenza – Flu

Bronchiolitis and Respiratory Syncytial Virus (RSV)

Umbilical Hernia

Nursing Care and Pathophysiology of Glomerulonephritis

Nursing Care and Pathophysiology of Nephrotic Syndrome

Nephrotic Syndrome

Attention Deficit Hyperactivity Disorder (ADHD)

Autism Spectrum Disorders

Diabetes Mellitus & Those Dang Blood Sugars! – Live Tutoring Archive

Nursing Care Plan (NCP) for Diabetes Mellitus (DM)

Nursing Care and Pathophysiology of Diabetes Mellitus (DM)

Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)

Epispadias and Hypospadias