Nursing Care for Fetal Distress - Answers Maternal position change (place mom on left side to increase
uterine blood flow to fetus).
Discontinue oxytocin if it is infusing.
Give Oxygen 8-10 liters by mask.
Increase IV rate to improve hydration.
Amnioinfusion can sometimes relieve cord compression.
Assist the provider to expedite delivery (possible C-section).
Hypertensive Disorders of Pregnancy - Answers PIH
Preeclampsia
Eclampsia
HELLP Syndrome
Preeclampsia Risk Factors - Answers First time pregnancies
Pregnant teens
Women over 40
History of hypertension prior to pregnancy
History of preeclampsia
Having a mother or sister who had preeclampsia
History of obesity
Carrying more than one baby
History of diabetes, kidney disease, lupus, or rheumatoid arthritis
Signs and Symptoms of Worsening Preeclampsia - Answers Increasing edema, especially of the hands
and face( if on bed rest observe for sacral edema)
Worsening headache
Epigastric pain
Visual disturbances
, Decreasing urinary output
Nausea/vomiting
Bleeding gums
Disorientation
Generalized complaints of not feeling well
Nursing Interventions for Eclampsia - Answers Prepare for emergent delivery (if it hasn't already
occurred)
Administer medications immediately (need IV access)
Start Magnesium and other meds as needed ie (Hydralazine, Labetalol Nifedipine, Sodium nitroprusside,
lasix)
Seizure precautions
Monitor vital signs, Deep Tendon Reflexes (DTR) and check for clonus.
Quiet environment low light to prevent cerebral disturbances
Monitor labs
Monitor for progression to HELLP
With high magnesium levels, reflexes.... - Answers may be diminished or absent
Magnesium Antidote - Answers Calcium gluconate
Nursing Considerations for Magnesium Sulfate - Answers It crosses the placenta
Monitor BP
Monitor serum levels
Monitor respirations
Assess reflexes
Strict I&O- monitor specific hourly output!
Magnesium should be turned off when... - Answers decreased respirations
shortness of breath
chest pain