Antepartum Testing Case Study (45 min)
Included In This Lesson
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.
How many transducers does the nurse need?
What instructions does the nurse need to give the patient?
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.
What do these results this mean? What are the implications?
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.
What medication is given during a contraction stress test? How would you explain this procedure and medication to the patient?
Does the nurse need to get any additional equipment to perform this test?
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.
What does this test result mean?
Study Guide pre LPN-RN
Concepts Covered:
- Cardiac Disorders
- Cardiovascular
- Emergency Care of the Cardiac Patient
- Shock
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of Pancreas
- Disorders of the Thyroid & Parathyroid Glands
- Gastrointestinal
- Upper GI Disorders
- Liver & Gallbladder Disorders
- Lower GI Disorders
- Central Nervous System Disorders – Brain
- Neurological
- Noninfectious Respiratory Disorder
- Respiratory
- Hematologic Disorders
- Delegation
- Perioperative Nursing Roles
- Acute & Chronic Renal Disorders
- Respiratory Emergencies
- Disorders of the Adrenal Gland
- Documentation and Communication
- Preoperative Nursing
- Legal and Ethical Issues
- Immunological Disorders
- Oncology Disorders
- Female Reproductive Disorders
- Cognitive Disorders
- Musculoskeletal Trauma
- Intraoperative Nursing
- Medication Administration
- Vascular Disorders
- Renal Disorders
- Male Reproductive Disorders
- Sexually Transmitted Infections
- Infectious Respiratory Disorder
- Gastrointestinal Disorders
- Newborn Complications
- Peripheral Nervous System Disorders
- Studying
- Integumentary Disorders
- Communication
- Microbiology
- Emergency Care of the Trauma Patient
- Urinary Disorders
- Integumentary Disorders
- Musculoskeletal Disorders
- Circulatory System
- EENT Disorders
- Postoperative Nursing
- Neurological Emergencies
- Disorders of Thermoregulation
- Neurological Trauma
- Basics of NCLEX
- Fundamentals of Emergency Nursing
- Integumentary Important Points
- Multisystem
- Test Taking Strategies
- Tissues and Glands
- Urinary System
- Emergency Care of the Neurological Patient
- Neurologic and Cognitive Disorders
- Central Nervous System Disorders – Spinal Cord
- Renal and Urinary Disorders
- Nervous System
- Respiratory Disorders
- Respiratory System
- Infectious Disease Disorders
- EENT Disorders
- Emergency Care of the Respiratory Patient
- Health & Stress
- Skeletal System
- Endocrine System
- Hematologic System
- Digestive System
- Reproductive System
- Endocrine and Metabolic Disorders
- Muscular System
- Sensory System
- Basics of Human Biology
- Adult
- Anxiety Disorders
- Depressive Disorders
- Dosage Calculations
- Understanding Society
- Concepts of Pharmacology
- Newborn Care
- Adulthood Growth and Development
- Pregnancy Risks
- Postpartum Complications
- Substance Abuse Disorders
- Bipolar Disorders
- Learning Pharmacology
- Psychotic Disorders
- Prenatal Concepts
- Prefixes
- Suffixes
- Fetal Development
- Terminology
- Proteins
- Statistics
- Med Term Basic
- Med Term Whole
- Labor Complications
- Labor and Delivery
- Postpartum Care
- Hematologic Disorders
- Cardiovascular Disorders
- Musculoskeletal Disorders
- Oncologic Disorders
- Eating Disorders
- Personality Disorders
- Trauma-Stress Disorders
- Developmental Considerations
- Concepts of Mental Health
- Psychological Emergencies
- Somatoform Disorders
- Prioritization
- Factors Influencing Community Health
- Community Health Overview