| Shadow Health® │ Digital Clinical Experiences™ from Elsevier https://app.shadowhealth.com/assignment_attempts/18667
Focused Exam: Preeclampsia Results | Turned In
BSN 346 - Concepts of Nursing III - January 2025, 20251bsn34606
Return to Assignment (/assignments/1125575/)
Your Results Lab Pass (/assignment_attempts/18667854/lab_pass.pdf)
Overview
Transcript
Transcript
Started: Mar 06, 2025 | Total Time: 29 min
Subjective Data Collection
All Lines (70) Interview Questions (42) Statements (10) Exam Actions (18)
Objective Data Collection
Greet
Education & Empathy hello
03/06/25 2:44 PM MST
Documentation
Hi.
Care Plan
Program Competency Progress Question
what brings you in today
03/06/25 2:45 PM MST
Well, I had a check-up scheduled for today, but the test results they did earlier
were problematic, they said. Which worries me. And honestly, I've been
having some weird stuff going on . . . headaches, swelling, really quick weight
gain . . .
Empathize
i'm sorry to hear that
03/06/25 2:45 PM MST
Aw, I appreciate that.
Question
are you comfortable
03/06/25 2:46 PM MST
Yes, I'm comfortable, thanks. Just worried about this preeclampsia, honestly,
and ready to learn more so it's under control. I don't want it to affect the twins.
Question
what is your typical diet like
03/06/25 2:46 PM MST
Hm . . . breakfast, I'll have fruit or bacon and eggs . . . lunch, maybe salad, or
just ramen or canned soup or something. Dinner . . . jollof rice, veggie stir fry,
or sometimes we get pepperoni pizza. I'll definitely have my salty snacks,
though, to be honest . . . Pickles, potato chips, and pickle potato chips. I don't
know if you've tried them, but they're a pretty big dill.
that is a lot of salt, which can cause you to have high blood pressure and Educate
preeclampsia during pregnancy 03/06/25 2:47 PM MST
1 of 7 3/6/2025, 2:16
,| Shadow Health® │ Digital Clinical Experiences™ from Elsevier https://app.shadowhealth.com/assignment_attempts/18667
Honestly, that's a good point.
Question
do you exercise
03/06/25 2:47 PM MST
I don't, not since my first trimester -- I'm too pregnant now. I mean, I used to
love it a lot -- yoga, biking, jogging. Now I just try and clean the house a ton
and keep it orderly.
Educate
staying active is good and will help you deliver your baby easier
03/06/25 2:47 PM MST
True, true.
Question
how much water do you drink daily
03/06/25 2:47 PM MST
So, this isn't something I explicitly keep track of, which maybe I should, I don't
know, but I'd guess that I drink one or two glasses of water a day.
you should drink a lot more water not only because you have high blood
Educate
pressure, but due to the high salt intake and being pregnant, it is beneficial for
03/06/25 2:48 PM MST
you to have more that 1-2 glasses
Sounds good.
Question
are you checking your blood pressure at home
03/06/25 2:48 PM MST
I don't, really. I mean. . . the physician said it was on the high side last week,
but didn't mention at-home monitoring or anything.
Question
what was your last blood pressure measurement
03/06/25 2:49 PM MST
They said I have high blood pressure this morning -- it was 144 over 96.
Higher than it was last week, which was 137 over 86.
Question
are you stressed out?
03/06/25 2:49 PM MST
I'm remarkably unstressed for a pregnant woman. . . or I was before today,
anyhow.
I understand that monitoring your BP may seem tedious or confusing, but Empathize
managing preeclampsia will require everyday vigilance 03/06/25 2:49 PM MST
Thanks.
you need to take your own blood pressure at home three times a day and Educate
keep a log of your readings. it is important 03/06/25 2:50 PM MST
Makes sense. I'm definitely going to keep that in mind.
Question
do you have any questions for me before the exam
03/06/25 2:50 PM MST
I mean, in all honesty, I'm very concerned. I just want to get this preeclampsia
under control--whatever it takes, I'm in.
2 of 7 3/6/2025, 2:16
,| Shadow Health® │ Digital Clinical Experiences™ from Elsevier https://app.shadowhealth.com/assignment_attempts/18667
Empathize
we are here for you
03/06/25 2:50 PM MST
Thank you for saying that.
Question
do you have any swelling
03/06/25 2:51 PM MST
Swelling? Oh, yes. My feet and ankles are terrible. There's some swelling in
my hands, but that's not too bad.
Question
has your weight changed recently
03/06/25 2:51 PM MST
Actually, I've gained 14 lbs in the past month. That's more than I was
supposed to . . .
Question
why do you think you gained weight
03/06/25 2:52 PM MST
The physician said it was from the swelling.
Empathize
i'm sorry we will get to the bottom of this
03/06/25 2:52 PM MST
Thank you so much.
Question
how long have you had these symptoms
03/06/25 2:52 PM MST
Well, everything didn't start at the same time--or I didn't notice it all at the
same time. I think the weight gain happened over the past month, and then I
noticed the bad swelling over the past week. The headaches started
happening in the last 4 or 5 days.
Question
do you currently have a headache
03/06/25 2:53 PM MST
Yeah, I've been getting headaches. They just come a'knocking at my door.
Fortunately, I don't have one right now. Gotta focus on the little miracles,
right?
Question
have you noticed any headache patterns
03/06/25 2:53 PM MST
Well, I've been getting them daily and they started 4 or 5 days ago. Needless
to say, it's getting pretty old.
have you had any vision disturbances (Clarified to Do you experience visual Question
disturbances?.) 03/06/25 2:53 PM MST
No, I don't have any visual disturbances like that and--knock on wood--I hope
I never do. (Clarified to if I experience visual disturbances.)
Question
what makes your headaches worse
03/06/25 2:53 PM MST
I don't think anything makes them worse in particular. At least not that I've
noticed.
Question
what makes your headaches go away
03/06/25 2:53 PM MST
3 of 7 3/6/2025, 2:16
Focused Exam: Preeclampsia Results | Turned In
BSN 346 - Concepts of Nursing III - January 2025, 20251bsn34606
Return to Assignment (/assignments/1125575/)
Your Results Lab Pass (/assignment_attempts/18667854/lab_pass.pdf)
Overview
Transcript
Transcript
Started: Mar 06, 2025 | Total Time: 29 min
Subjective Data Collection
All Lines (70) Interview Questions (42) Statements (10) Exam Actions (18)
Objective Data Collection
Greet
Education & Empathy hello
03/06/25 2:44 PM MST
Documentation
Hi.
Care Plan
Program Competency Progress Question
what brings you in today
03/06/25 2:45 PM MST
Well, I had a check-up scheduled for today, but the test results they did earlier
were problematic, they said. Which worries me. And honestly, I've been
having some weird stuff going on . . . headaches, swelling, really quick weight
gain . . .
Empathize
i'm sorry to hear that
03/06/25 2:45 PM MST
Aw, I appreciate that.
Question
are you comfortable
03/06/25 2:46 PM MST
Yes, I'm comfortable, thanks. Just worried about this preeclampsia, honestly,
and ready to learn more so it's under control. I don't want it to affect the twins.
Question
what is your typical diet like
03/06/25 2:46 PM MST
Hm . . . breakfast, I'll have fruit or bacon and eggs . . . lunch, maybe salad, or
just ramen or canned soup or something. Dinner . . . jollof rice, veggie stir fry,
or sometimes we get pepperoni pizza. I'll definitely have my salty snacks,
though, to be honest . . . Pickles, potato chips, and pickle potato chips. I don't
know if you've tried them, but they're a pretty big dill.
that is a lot of salt, which can cause you to have high blood pressure and Educate
preeclampsia during pregnancy 03/06/25 2:47 PM MST
1 of 7 3/6/2025, 2:16
,| Shadow Health® │ Digital Clinical Experiences™ from Elsevier https://app.shadowhealth.com/assignment_attempts/18667
Honestly, that's a good point.
Question
do you exercise
03/06/25 2:47 PM MST
I don't, not since my first trimester -- I'm too pregnant now. I mean, I used to
love it a lot -- yoga, biking, jogging. Now I just try and clean the house a ton
and keep it orderly.
Educate
staying active is good and will help you deliver your baby easier
03/06/25 2:47 PM MST
True, true.
Question
how much water do you drink daily
03/06/25 2:47 PM MST
So, this isn't something I explicitly keep track of, which maybe I should, I don't
know, but I'd guess that I drink one or two glasses of water a day.
you should drink a lot more water not only because you have high blood
Educate
pressure, but due to the high salt intake and being pregnant, it is beneficial for
03/06/25 2:48 PM MST
you to have more that 1-2 glasses
Sounds good.
Question
are you checking your blood pressure at home
03/06/25 2:48 PM MST
I don't, really. I mean. . . the physician said it was on the high side last week,
but didn't mention at-home monitoring or anything.
Question
what was your last blood pressure measurement
03/06/25 2:49 PM MST
They said I have high blood pressure this morning -- it was 144 over 96.
Higher than it was last week, which was 137 over 86.
Question
are you stressed out?
03/06/25 2:49 PM MST
I'm remarkably unstressed for a pregnant woman. . . or I was before today,
anyhow.
I understand that monitoring your BP may seem tedious or confusing, but Empathize
managing preeclampsia will require everyday vigilance 03/06/25 2:49 PM MST
Thanks.
you need to take your own blood pressure at home three times a day and Educate
keep a log of your readings. it is important 03/06/25 2:50 PM MST
Makes sense. I'm definitely going to keep that in mind.
Question
do you have any questions for me before the exam
03/06/25 2:50 PM MST
I mean, in all honesty, I'm very concerned. I just want to get this preeclampsia
under control--whatever it takes, I'm in.
2 of 7 3/6/2025, 2:16
,| Shadow Health® │ Digital Clinical Experiences™ from Elsevier https://app.shadowhealth.com/assignment_attempts/18667
Empathize
we are here for you
03/06/25 2:50 PM MST
Thank you for saying that.
Question
do you have any swelling
03/06/25 2:51 PM MST
Swelling? Oh, yes. My feet and ankles are terrible. There's some swelling in
my hands, but that's not too bad.
Question
has your weight changed recently
03/06/25 2:51 PM MST
Actually, I've gained 14 lbs in the past month. That's more than I was
supposed to . . .
Question
why do you think you gained weight
03/06/25 2:52 PM MST
The physician said it was from the swelling.
Empathize
i'm sorry we will get to the bottom of this
03/06/25 2:52 PM MST
Thank you so much.
Question
how long have you had these symptoms
03/06/25 2:52 PM MST
Well, everything didn't start at the same time--or I didn't notice it all at the
same time. I think the weight gain happened over the past month, and then I
noticed the bad swelling over the past week. The headaches started
happening in the last 4 or 5 days.
Question
do you currently have a headache
03/06/25 2:53 PM MST
Yeah, I've been getting headaches. They just come a'knocking at my door.
Fortunately, I don't have one right now. Gotta focus on the little miracles,
right?
Question
have you noticed any headache patterns
03/06/25 2:53 PM MST
Well, I've been getting them daily and they started 4 or 5 days ago. Needless
to say, it's getting pretty old.
have you had any vision disturbances (Clarified to Do you experience visual Question
disturbances?.) 03/06/25 2:53 PM MST
No, I don't have any visual disturbances like that and--knock on wood--I hope
I never do. (Clarified to if I experience visual disturbances.)
Question
what makes your headaches worse
03/06/25 2:53 PM MST
I don't think anything makes them worse in particular. At least not that I've
noticed.
Question
what makes your headaches go away
03/06/25 2:53 PM MST
3 of 7 3/6/2025, 2:16