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?
Ground Zero
Concepts Covered:
- Communication
- Fundamentals of Emergency Nursing
- Intraoperative Nursing
- Documentation and Communication
- Legal and Ethical Issues
- Emergency Care of the Cardiac Patient
- Delegation
- Perioperative Nursing Roles
- Preoperative Nursing
- Community Health Overview
- Prioritization
- Studying
- Factors Influencing Community Health
- Concepts of Population Health
- Understanding Society
- Test Taking Strategies
- Medication Administration
- Adult
- Microbiology
- Cardiac Disorders
- Anxiety Disorders
- Depressive Disorders
- Vascular Disorders
- Nervous System
- Upper GI Disorders
- Central Nervous System Disorders – Brain
- Gastrointestinal Disorders
- Immunological Disorders
- Dosage Calculations
- Circulatory System
- Concepts of Pharmacology
- Hematologic Disorders
- Newborn Care
- Adulthood Growth and Development
- Disorders of Pancreas
- Respiratory Disorders
- Postoperative Nursing
- Pregnancy Risks
- Neurological
- Postpartum Complications
- Substance Abuse Disorders
- Noninfectious Respiratory Disorder
- Bipolar Disorders
- Peripheral Nervous System Disorders
- Learning Pharmacology
- Psychotic Disorders
- Prenatal Concepts
- Tissues and Glands
- Basics of Chemistry
- Gastrointestinal
- Newborn Complications
- Labor Complications
- Fetal Development
- Terminology
- Labor and Delivery
- Postpartum Care
- EENT Disorders
- Infectious Disease Disorders
- Lower GI Disorders
- Integumentary Disorders
- Neurologic and Cognitive Disorders
- Hematologic Disorders
- Integumentary Disorders
- Cardiovascular Disorders
- Musculoskeletal Disorders
- Endocrine and Metabolic Disorders
- Renal and Urinary Disorders
- Urinary System
- Oncologic Disorders
- Renal Disorders
- Infectious Respiratory Disorder
- Urinary Disorders
- Sexually Transmitted Infections
- EENT Disorders
- Behavior
- Emotions and Motivation
- Growth & Development
- Psychological Disorders
- State of Consciousness
- Health & Stress