Preeclampsia (45 min)
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Outline
A 38-year-old female is 36 weeks pregnant and arrives to labor and delivery for a headache that won’t go away with acetaminophen. The nurse gets the patient’s vitals.
Critical Thinking Check
What else should the nurse ask?
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The nurse notes that the patient’s blood pressure is 156/98 mm hg and asks the patient “have you had any blurred vision, floaters or changes to that? Any sudden swelling, sudden weight gain? ”
The patient responds, “yes, I keep seeing floaters and have even thrown up from it. I do have some swelling and my upper abdomen has really been hurting. My head is really hurting.” The nurse goes to call the doctor. Nurse to Dr. “Hey Dr. Smith your patient, Maria Evans is here with some symptoms of preeclampsia. She has a BP of 156/98 mm hg, epigastric pain, bad headache, and some vision changes.
Critical Thinking Check
What do you expect the Dr. to order?
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Critical Thinking Check
Why did the doctor not order IV fluids?
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The nurse calls for help and nurses enter the room. They call the patient’s name, get fetal heart tones, apply oxygen, protect the patient. A nurse calls the doctor again and explains the patient is having seizure.
Critical Thinking Check
What is happening with this patient?
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Critical Thinking Check
What do you expect the provider to order?
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Maternal Fetal Medicine
Concepts Covered:
- Labor Complications
- Pregnancy Risks
- Newborn Care
- Postpartum Care
- Postpartum Complications
- Prenatal Concepts
- Fetal Development
- Newborn Complications
- Labor and Delivery
- Studying
- Medication Administration
Study Plan Lessons
Abruptio Placenta for Certified Emergency Nursing (CEN)
Abruptio Placentae (Placental abruption)
Anemia in Pregnancy
Antepartum Testing
Babies by Term
Betamethasone and Dexamethasone
Betamethasone and Dexamethasone in Pregnancy
Breastfeeding
Cardiac (Heart) Disease in Pregnancy
Causes of Chorioamnionitis Nursing Mnemonic (Pregnancies Are Very Interesting)
Causes of Labor Dystocia Nursing Mnemonic (Having Extremely Frustrating Labor)
Causes of Postpartum Hemorrhage Nursing Mnemonic (4 T’s)
Certified Nurse Midwife
Day in the Life of a Labor Nurse
Day in the Life of a Postpartum Nurse
Discomforts of Pregnancy
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Ectopic Pregnancy
Ectopic Pregnancy for Certified Emergency Nursing (CEN)
Emergent Delivery (OB) (30 min)
Emergent Delivery for Certified Emergency Nursing (CEN)
Epidural
Episiotomy – Evaluation of Healing Nursing Mnemonic (REEDA)
Erythroblastosis Fetalis
Factors That Can Put a Pregnancy at Risk Nursing Mnemonic (RIBCAGE)
Fertilization and Implantation
Fetal Alcohol Syndrome (FAS)
Fetal Development
Fetal Heart Monitoring (FHM)
Fetal Heart Monitoring Like A Pro – Live Tutoring Archive
Fetal Heart Monitoring Like A Pro 2 – Live Tutoring Archive
Fetal Wellbeing Assessment Tests Nursing Mnemonic (ALONE)
Fundal Height Assessment for Nurses
Gestation & Nägele’s Rule: Estimating Due Dates
Gestational Diabetes (GDM)
Gestational Diabetes and Why YOU Should Know About It – Live Tutoring Archive
Gestational HTN (Hypertension)
Gravidity and Parity (G&Ps, GTPAL)
Glucose Tolerance Test (GTT) Lab Values
Hemorrhage (Postpartum Bleeding) for Certified Emergency Nursing (CEN)
Infections in Pregnancy
Incompetent Cervix
Initial Care of the Newborn (APGAR)
Labor Progression Case Study (45 min)
Magnesium Sulfate in Pregnancy
Mastitis
Maternal Risk Factors
Mechanisms of Labor
Meconium Aspiration
Meds for Postpartum Hemorrhage (PPH)
Meds for PPH (postpartum hemorrhage)
Menstrual Cycle
Newborn of HIV+ Mother
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
Nursing Care Plan (NCP) for Chorioamnionitis
Nursing Care Plan (NCP) for Ectopic Pregnancy
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
Nursing Care Plan (NCP) for Gestational Diabetes (GDM)
Nursing Care Plan (NCP) for Hyperemesis Gravidarum
Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL
Nursing Care Plan (NCP) for Process of Labor
Oxytocin (Pitocin) Nursing Considerations
Placenta Previa
Placenta Previa for Certified Emergency Nursing (CEN)
Postpartum Discomforts
Postpartum Hemorrhage (PPH)
Postpartum Interventions
Postpartum Thrombophlebitis
Preeclampsia (45 min)
Preeclampsia, Eclampsia, and HELLP Syndrome for Certified Emergency Nursing (CEN)
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Pregnancy Labs
Premature Rupture of the Membranes (PROM)
Preterm Labor
Preterm Labor for Certified Emergency Nursing (CEN)
Probable Signs of Pregnancy Nursing Mnemonic (CHOP BUGS)
Prostaglandins in Pregnancy
Rh Immune Globulin (Rhogam)
Rh Immune Globulin in Pregnancy
Threatened/Spontaneous Abortion for Certified Emergency Nursing (CEN)
