Can you please help me with the next question? Analysis (Prioritizing Hypotheses) What explanations are most likely? What is the most serious explanation? What is the priority order for safe and effective care? In order of priority, identify the top 3 client conditions. A healthy 28-year-old female, Amy, Gravida 2 Parity 1, presents to GP at 34 weeks’ gestation complaining of a 3-day history of severe headaches and blurry vision. She reports good fetal movements with no vaginal loss. GP took vital signs with BP measuring 160/100. Examination revealed a soft non-tender abdomen with hyper-reflexia with 2 beats of clonus. Urinalysis shows proteinuria 2+. Amy’s GP refers her to the delivery ward for further blood tests and assessment. Amy presented to delivery ward for further assessment. Her BP measured 160/95 and had a soft non-tender abdomen and a normal CTG on examination. Blood tests showed moderately elevated transaminase levels, normal platelet count, normal creatinine and haematocrit. Her urine protein creatinine ratio returned at 45mg/mmol. Amy’s BP profile remained elevated and she was commenced on Labetalol. She was admitted for BP monitoring/stabilisation and an ultrasound that showed normal fetal growth and wellbeing. Thank you in advance!
Can you please help me with the next question?
Analysis (Prioritizing Hypotheses) What explanations are most likely? What is the most serious explanation? What is the priority order for safe and effective care? In order of priority, identify the top 3 client conditions.
A healthy 28-year-old female, Amy, Gravida 2 Parity 1, presents to GP at 34 weeks’ gestation complaining of a 3-day history of severe headaches and blurry vision. She reports good fetal movements with no vaginal loss. GP took vital signs with BP measuring 160/100. Examination revealed a soft non-tender abdomen with hyper-reflexia with 2 beats of clonus. Urinalysis shows proteinuria 2+. Amy’s GP refers her to the delivery ward for further blood tests and assessment.
Amy presented to delivery ward for further assessment. Her BP measured 160/95 and had a soft non-tender abdomen and a normal CTG on examination. Blood tests showed moderately elevated transaminase levels, normal platelet count, normal creatinine and haematocrit. Her urine protein creatinine ratio returned at 45mg/mmol.
Amy’s BP profile remained elevated and she was commenced on Labetalol. She was admitted for BP monitoring/stabilisation and an ultrasound that showed normal fetal growth and wellbeing.
Thank you in advance!
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