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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?

VIEW ANSWER

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?

VIEW ANSWER

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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Hesi Prep maternity

Concepts Covered:

Fetal Development
Terminology
Pregnancy Risks
Prenatal Concepts
Newborn Care
Newborn Complications
Labor Complications
Postpartum Complications
Medication Administration
Labor and Delivery
Studying
Postpartum Care
Communication

Study Plan Lessons

Alpha-fetoprotein (AFP) Lab Values

Antepartum Testing

Stages of Fetal Development Nursing Mnemonic (Proficiently Expanding Fetus)

What the Heck is Antepartum Testing? – Live Tutoring Archive

Antepartum Testing Case Study (45 min)

Blood Glucose Monitoring

Body System Assessments

Clindamycin (Cleocin) Nursing Considerations

Congestive Heart Failure (CHF) Labs

Disseminated Intravascular Coagulation (DIC)

Eye Prophylaxis for Newborn (Erythromycin)

Eye Prophylaxis for Newborn

Erythroblastosis Fetalis

Fetal Development

Fetal Distress Interventions Nursing Mnemonic (Stop MOAN)

Fetal Environment

Fetal Heart Monitoring (FHM)

Fetal Heart Monitoring Like A Pro – Live Tutoring Archive

Fetal Heart Monitoring Like A Pro 2 – Live Tutoring Archive

Gestational Diabetes (GDM)

Gestational Diabetes and Why YOU Should Know About It – Live Tutoring Archive

Gestational HTN (Hypertension)

Glucagon Lab Values

Glucose Tolerance Test (GTT) Lab Values

Gravidity and Parity (G&Ps, GTPAL)

HELLP Syndrome – Signs and Symptoms Nursing Mnemonic (HELLP)

Hemoglobin A1c (HbA1C)

Isotonic Solutions (IV solutions)

Labor Progression Case Study (45 min)

Leopold Maneuvers

Magnesium Sulfate

Magnesium Sulfate (MgSO4) Nursing Considerations

Magnesium Sulfate in Pregnancy

Maternal Risk Factors

Mechanisms of Labor

Meds for Postpartum Hemorrhage (PPH)

Meds for PPH (postpartum hemorrhage)

Methylergonovine (Methergine) Nursing Considerations

Newborn Physical Exam

Newborn Reflexes

Nifedipine (Procardia) Nursing Considerations

Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption

Nursing Care Plan (NCP) for Chorioamnionitis

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

Nursing Care Plan (NCP) for Dystocia

Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL

Nursing Care Plan (NCP) for Meconium Aspiration

Nursing Care Plan (NCP) for Newborns

Nursing Care Plan (NCP) for Placenta Previa

Nursing Care Plan (NCP) for Preterm Labor / Premature Labor

Nursing Care Plan (NCP) for Process of Labor

Nursing Care Plan (NCP) for Transient Tachypnea of Newborn

Nursing Care Plan for (NCP) Fetal Alcohol Syndrome (FAS)

Nursing Care Plan for Newborn Reflexes

Nursing Case Study for Maternal Newborn

Nutrition Assessments

Nutrition in Pregnancy

Nutritional Requirements

OB (Labor) Nurse Report to OB (Postpartum) Nurses

OB Non-Stress Test Results Nursing Mnemonic (NNN)

OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive

Obstetrical Procedures

Opioid Analgesics in Pregnancy

Pediatric Vital Signs (VS)

Physiological Changes

Possible Infections During Pregnancy Nursing Mnemonic (TORCH)

Postpartum Discomforts

Postpartum Hematoma

Postpartum Hemorrhage (PPH)

Postpartum Interventions

Postpartum Physiological Maternal Changes

Postpartum Thrombophlebitis

Precipitous Labor

Preeclampsia (45 min)

Preeclampsia, Eclampsia, and HELLP Syndrome for Certified Emergency Nursing (CEN)

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

Preload and Afterload

Premature Rupture of the Membranes (PROM)

Probable Signs of Pregnancy Nursing Mnemonic (CHOP BUGS)

Process of Labor – Baby Nursing Mnemonic (ALPPPS)

Process of Labor – Mom Nursing Mnemonic (4 P’s)

Process of Labor 2 – Live Tutoring Archive

Prolapsed Umbilical Cord

Promethazine (Phenergan) Nursing Considerations

Prostaglandins in Pregnancy

Protein (PROT) Lab Values

Retinopathy of Prematurity (ROP)

Signs of Pregnancy (Presumptive, Probable, Positive)

Stages of Fetal Development Nursing Mnemonic (Proficiently Expanding Fetus)

Terbutaline (Brethine) Nursing Considerations

Umbilical Cord Vasculature Nursing Mnemonic (2A1V)

Uterine Stimulants (Oxytocin, Pitocin)

Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations

VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)