NURSING 212 Maternity Case Study Olivia Jones

NURSING 212 Maternity Case Study Olivia Jones     • Explain rationale to patient and support person with the use of tocolytics to treat contractions and to try to prevent preterm birth • Explain all procedures, equipment, medications, and side effects and answer all questions • Allow for expression of anxiety condering infant’s prematurity. Arranging for the staff of the neonatal intensive care unit to visit the patient to ansere questions may be helpful • Continually update patient and family on maternal and fetal status • Begin patient education to increase knowledge and skills concerning preterm labor. Patient education is individualized by may include the following: o Medication administration, scheduling and side effects o Abdominal palpation and timing of contrations o Importance of bed rest in later recumbent position o Subtle signs or sypmptoms of preterm labor and importance of immediately reporting symptoms o Adequate hydration 4. Document the administration of the magnesium sulfate bolus and the initiation of the magnesium sulfate infusion. • Pertinet maternal and fetal assessments • Initiation of protocols used in patient care • All nursing and medical interventions and patient’s reponse • Magnesium sulfate in grams per hour • Initial and subsequent tocolytic dosages as well as time of dosage changes • Physician notifivation, including indication and response • Powered by TCPDF ()