Mrs. Smith is a G1P0 at 38 weeks and 4 days. She calls the nurse triage

Question Mrs. Smith is a G1P0 at 38 weeks and 4 days. She calls the nurse triageline with complaints of a headache and spotty vision. What should the triage nurse encourage Mrs. Smith to do?   On evaluation Mrs. Smith’ vitals are:BP: 148/92P: 68R: 16T: 37.1Pain: 4/10 for headacheReflexes: 3+SVE: fingertip/thick/-3 Mrs. Smith states baby has been active, and her contractions have been every 5-8 minutes apart lasting two minutes or so. Monitors are applied to Mrs. Smith. Fetal heartrate is 125 bpm with accelerations and no decelerations. Irritability is noted with occasional contractions that palpate mild for intensity. What are some other questions the triage nurse should ask Mrs. Smith?  Mrs. Smith states that her bag of water is still intact. Her headache started two days ago and is not getting better with Tylenol, oral hydration, or rest. She states she only notices seeing stars or flashes with her vision that are constant for the last few hours. She has not been dizzy. Mrs. Smith denies epigastric pain, nausea or vomiting. She states her ankles and feet are a little more swollen than normal, but she has not been getting daily weights. She states that she has been drinking more water to see if her headaches are from dehydration, but she hasn’t noticed an increase in urine output. The triage nurse calls the on-call obstetrician, Dr. White, and fills him in on the patient. Dr. White would like the preeclampsia lab work up done. What labs are consistent with the preeclampsia lab work up? Why are these labs consistent with the preeclampsia lab work up?  Mrs. Smith lab results came back normal except for her protein/creatine level was 0.8. Mrs. Smith’s blood pressures have been taken every 15 minutes while in triage. Her blood pressures have been: 156/89, 149/87, 152/91, 152/89 and 148/94. What do you expect Dr. White to do with the information presented? What medication will the patient be started on?  Health Science Science Nursing NURS NUR2392LL Share QuestionEmailCopy link Comments (0)

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