Case Studies, Chapter 19, Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications

Case Studies, Chapter 19, Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications
1. Teresa is a 36-year-old primigravida who is expecting twins. She is 26 weeks pregnant. She stays after your “What to Expect with Twins” class to talk to you. Although Teresa is a nurse, she has many questions and concerns. Her twins are a result of years of trying to get pregnant and in vitro fertilization. She is nervous about whether she will have a vaginal delivery or a cesarean section. She is worried about having the babies prematurely. She wants you to tell her everything that could go wrong so she can be prepared. (Learning Objectives 1, 2, 4, and 5)
a. Why is Teresa’s pregnancy considered a high-risk pregnancy?
b. Discuss potential pregnancy-related complications for Teresa.
c. Discuss the potential risks to the babies.
2. Sarah is 19-year-old G1P0 at 36 weeks’ gestation. Sarah has been followed weekly in the clinic for mild–moderate preeclampsia. At her clinic appointment today, Sarah’s blood pressure reading was 188/104. She is admitted to the antepartum unit for management of her worsening preeclampsia. You perform her admission assessment and note that her reflexes are brisk, her heart rate is 94, she complains of having an intense headache, and is seeing spots before her eyes. You perform an abdominal assessment and note that she has significant epigastric tenderness. (Learning Objective 4)
a. Develop a plan of care for the woman experiencing preeclampsia and/or eclampsia
b. Develop a plan of care for a woman experiencing HELLP syndrome.