Complete each task by providing appropriate response in paragraph forms. Elaborate on your responses and be sure to support them with evidence. Include in-text citations and a separate sheet of paper for References.

Task 1
A patient is sent for Non-Stress Test due to complaints of decreased fetal movement. Her LMP is 09/8/17. Determine her EDC using Naegele’s Rule and explain the proper use of this method. What is the woman’s gestational age based on her EDC?

Task 2
As you prepare to initiate the NST, the patient asks you what this procedure is for. Explain to the patient the relevant information about NST including its indication/purpose, length of procedure, what activities are included in the procedure, and findings.

Task 3
Before application of TOCO and US fetal monitors you decided to perform Leopold’s Maneuver. Describe the sequence by explaining the positions of your hands as well as the corresponding assessment or purpose for each of the maneuver.

Task 4
The patient is on the monitor for about 20 minutes now. Interpret the fetal heart tracing by identifying the baseline? Variability? Accelerations? Decelerations? Category?

Task 5
As you try to interpret the tracing, you began analyzing what factors may have contributed to this pattern. Identify the factors that could lead to this type of fetal heart variability.

Task 5
Based on your interpretation of FHT, what would you do? Provide the necessary intrauterine resuscitation measures and explain the rationale behind your interventions.

Task 6
When you took the patient’s vital signs, you noted that the blood pressures were 155/90 and 150/85. Perform additional physical assessments that are relevant to preeclampsia.

Task 7
The patient got curious about the extensive physical assessment you are performing. And starts asking you questions. Answer the patient’s inquiry of what preeclampsia is? risk factors? Cause? And danger signs?

Task 8
You thought of suggesting to the obstetrician to order blood works to support diagnosis of preeclampsia. What blood tests would you order and what findings are expected of a preeclampsia diagnosis?

Task 9
Blood results came back suggestive of preeclampsia. What do you expect that the doctor would order as series of management for the patient’s condition?

Task 10
The MD has ordered to administer Magnesium Sulfate. Before you administer the medication, the patient asks what the medication is for. Explain thoroughly to the patient the indication, side effects, and adverse effects of MgSO4.

Task 11
Aware of the potency of the Magnesium Sulfate, you perform your assessments to identify signs of toxicity. What are signs of toxicity and intervention to perform when patient manifests such signs?

Task 12
Upon assessment of deep tendon reflexes, you observed <1 DTR bilateral extremities, along with RR of 10/min. Enumerate your interventions according to priority.

Task 13
The patient’s condition worsens over the last few hours and the doctor is considering delivering the baby by cesarean section. Identify the various categories of cesarean section and give 1 example for each.

Task 14
Which category of cesarean section the woman in this scenario would fall under?

Task 15
The MD discussed with the patient about the plan for cesarean section. When he came out, he ordered that you prepare the patient for the surgery. Enumerate the pre-op care for the woman.

Task 16
The patient appears very anxious and is asking you many questions. How would you address her concerns and alleviate her anxiety over the impending major surgery?

Task 17
Based on your calculation of her gestational age, you become concern of potential extrauterine coping issues with the newborn. What nursing actions do you plan to take to in order to assist the neonate with his/her adjustment from intrauterine to extrauterine life.

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