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Lab Sheet Week 3: Obstetrical Emergencies
Pre-eclampsia/Eclampsia
Purpose: To increase critical thinking ability related to an obstetrical emergency while providing safe patient-centered care in a simulated scenario. Watch video (s) on pre-eclampsia.
Unfolding Case: You are a registered nurse (RN) working in a Women’s Health Clinic.
A 34-week G1P0 primigravida comes to her appointment for a routine prenatal visit.
Assessment findings are:
VS BP 160/100, Apical 90, RR 22. Afebrile.
Pt. c/o Headache, blurring vision and right sided abdominal pain x 1 day.
Weight gain of 10 pounds since last visit one month ago.
1. Determine if symptoms are normal or abnormal for gestation.
Identify abnormal vital signs ______________________
What condition is suspected? _____________________
Which labs need to be done? _____________________
What are the priority nursing interventions for pre-eclampsia? _____________
2. Role play calling doctor or midwife using SBAR communication. Document SBAR Report here
(Patient is now receiving IV Magnesium Sulfate 2 grams/hour on an Imed pump. )
S _______________________________________________________________
B _______________________________________________________________
A _______________________________________________________________
R _______________________________________________________________
3. What assessments need to be done while receiving Magnesium sulfate?
(Her condition progresses from preeclampsia and HELLP syndrome (as indicated by labs) to eclampsia with a grand mal seizure.)
List the Assessments that are indicated: ______________________ ______________________ ______________________________________________________________________________
4. Demonstrate nursing care/interventions during eclampsia
Describe seizure precautions _____________________________
List other priority interventions _______________________
What other complications can result during severe preclampsia/eclampsia? ________________________________________________________________
5. Document Results of debriefing session after the scenario end. __________________________________________________________
Umbilical Cord Prolapse
When we refer to an umbilical cord prolapse what are the 2 common places that the cord can be palpated? ________________ and _______________.
_____________, ________________
What is the first, priority action after calling for help for an umbilical cord prolapse? __________________
What other priority action is called for with an umbilical cord prolapse? _________
What other priority action is called for with an umbilical cord prolapse? _________
What other priority action is called for with an umbilical cord prolapse? _________
How much oxygen do you administer to a pregnant woman and what is the preferred delivery method? _______________
What is the preferred delivery method of oxygen to a pregnant/laboring mother? __________________.

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