Concordia College Nursing Care Plan Worksheet
Description
Patient Introduction
Olivia Jones is a 23-year-old African-American female, G1P0 at 36 weeks of gestation. She has been diagnosed with mild preeclampsia and is admitted to the OB triage area for assessment and surveillance.
Pregnancy has been unremarkable until routine prenatal visit today, where BP was 146/92 mm Hg, and a weight gain of 8 lb was noted since last prenatal visit 2 weeks ago.
Ms. Jones states her rings do not fit anymore and she feels ”puffy.” Her deep tendon reflexes are normal, +2. Protein dipstick is +2, negative ketones, negative glucose, and +1 dependent edema. Fetal HR, via Doppler in office today, was 130/min, and the baby was active.
Ms. Jones presents with nausea and fatigue but denies headache, epigastric pain, visual changes, chest tightness, or abdominal pain; she also denies rupture of membranes, bleeding, or increased vaginal discharge. (please used Nanda)
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