HESI Case Study - NRSG376 Questions and Complete answers

HESI Case Study - NRSG376 At 0600, Ashley is brought to the Labor and Delivery triage area by her sister. The client complains of a pounding headache for the last 12 hours unrelieved by acetaminophen, swollen hands and face for 2 days, blurry vision, and epigastric pain described as bad heartburn. Her sister tells the registered nurse, "I felt like that when I had toxemia during my pregnancy." Admission assessment by the nurse reveals the following: today's weight 182 pounds, T 99.1-degrees F, P 76 beats/minute, R 22 breaths/minute, BP 138/88 mmHg, 4+ pitting edema, and 3+ proteinuria. Heart rate is regular, and lung sounds are clear. Deep tendon reflexes (DTRs) are 3+ biceps and triceps and 4+ patellar with 1 beat of ankle clonus. The nurse applies the external fetal monitor, which shows a baseline fetal heart rate of 130, short-term variability present, positive for accelerations, no decelerations, and no contractions. The nurse also perf ANSWER: -Familial history -Preexisting medical or genetic condition, such as Factor V Leiden -Nulliparity To accurately assess this client's condition, what information from the prenatal record is most important for the nurse to obtain? a) Pattern and number of prenatal visits b) Prenatal blood pressure readings