Hello, Can you please help me to Evaluate Outcomes of the next case?. (Evaluate Outcomes: What signs will point to improving, declining, and unchanged status?/describe/define/discuss how the nurse will evaluate the effectiveness of the interventions implemented. Provide a comprehensive overview of what signs will point to improving, declining, and unchanged status). Case: Amy is a healthy 28-year-old female, Gravida 2 Para 1001, who presents to the provider’s office at 33 weeks gestation complaining of a 3-day history of severe headaches and blurry vision. She reports normal fetal movement. Vital signs were assessed with BP measuring 160/100. Examination reveals a soft non-tender abdomen, 2+ DTRs, and absent clonus. Urinalysis shows 2+ proteinuria. Amy’s provider diagnoses her with preeclampsia and admits her to the hospital’s high-risk antepartum unit for further testing, fetal surveillance, and expectant management. Outcomes are: Stabilization will be achieved if Amy's BP consistently measures <140/90 mmHg within 48 hours, without signs of worsening symptoms. This goal is met if NSTs and BPPs consistently show reassuring results, and proteinuria levels remain stable or improve within 5-7 days. The goal will be achieved if Amy delivers a healthy baby at or beyond 37 weeks without complications and demonstrates resolution of preeclampsia symptoms by 6 weeks postpartum. Take actions: Frequent BP monitoring (every 4-6 hours or as ordered).• Administration of antihypertensive therapy as prescribed.• Monitoring for signs of worsening preeclampsia, such as clonus, worsening headaches, or visual disturbances.• Ensuring Amy remains in a calm, low-stimulation environment to minimize the risk of eclampsia. Daily NSTs to evaluate fetal heart rate variability and signs of distress.• Weekly or bi-weekly BPPs to assess fetal movement, tone, breathing, and amniotic fluid volume.• Continuous monitoring of Amy's BP and proteinuria levels to detect worsening preeclampsia.• Providing Amy with education about reporting any changes in symptoms, such as decreased fetal movement or worsening visual disturbances.   Thank you in advance!

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
6th Edition
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Chapter5: The Therapeutic Approach To The Patient With A Life-threatening Illness
Section: Chapter Questions
Problem 5.1CS
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Hello,

Can you please help me to Evaluate Outcomes of the next case?. (Evaluate Outcomes: What signs will point to improving, declining, and unchanged status?/describe/define/discuss how the nurse will evaluate the effectiveness of the interventions implemented. Provide a comprehensive overview of what signs will point to improving, declining, and unchanged status).

Case: Amy is a healthy 28-year-old female, Gravida 2 Para 1001, who presents to the provider’s office at 33 weeks gestation complaining of a 3-day history of severe headaches and blurry vision. She reports normal fetal movement. Vital signs were assessed with BP measuring 160/100. Examination reveals a soft non-tender abdomen, 2+ DTRs, and absent clonus. Urinalysis shows 2+ proteinuria. Amy’s provider diagnoses her with preeclampsia and admits her to the hospital’s high-risk antepartum unit for further testing, fetal surveillance, and expectant management.

Outcomes are:

  • Stabilization will be achieved if Amy's BP consistently measures <140/90 mmHg within 48 hours, without signs of worsening symptoms.
  • This goal is met if NSTs and BPPs consistently show reassuring results, and proteinuria levels remain stable or improve within 5-7 days.
  • The goal will be achieved if Amy delivers a healthy baby at or beyond 37 weeks without complications and demonstrates resolution of preeclampsia symptoms by 6 weeks postpartum.

Take actions:

  • Frequent BP monitoring (every 4-6 hours or as ordered).
    • Administration of antihypertensive therapy as prescribed.
    • Monitoring for signs of worsening preeclampsia, such as clonus, worsening headaches, or visual disturbances.
    • Ensuring Amy remains in a calm, low-stimulation environment to minimize the risk of eclampsia.

    Daily NSTs to evaluate fetal heart rate variability and signs of distress.
    • Weekly or bi-weekly BPPs to assess fetal movement, tone, breathing, and amniotic fluid volume.
    • Continuous monitoring of Amy's BP and proteinuria levels to detect worsening preeclampsia.
    • Providing Amy with education about reporting any changes in symptoms, such as decreased fetal movement or worsening visual disturbances.

  •  

Thank you in advance!

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