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.
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?
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Maternal
Concepts Covered:
- Pregnancy Risks
- Labor Complications
- Fetal Development
- Terminology
- Prenatal Concepts
- Newborn Care
- Postpartum Care
- Postpartum Complications
- Newborn Complications
- Labor and Delivery
- Medication Administration