#1  A 35 year old G1P0 is 20 weeks gestation with a past medical history of hypertension.  Her pregnancy has been uneventful; however, at today’s appointment, her blood pressure was 150/100mmHg at first check and 15 minutes later was still 136/90 mmHg.  She is also complaining of light-headedness and palpitations.

A.  What actions would you take as her nurse?

B.  What change should this patient be encouraged to do?

C.  What are the expected outcomes?

#2.  The patient is a 17 year old female who arrives to the emergency department in active labor with a questionable past of obstetrical history.  She indicates that she has had no prenatal care, does not remember her last menstruation period, and is evasive if this is her first pregnancy.  Blood work indicates she is Rh negative.

A.  What are some concerns you as her nurse should be prepared for?

B.  What teaching does this patient need?

C.  What are the expected outcomes for this patient?

#3  A 15 year-old female has come to the urgent care complaining about nausea, vomiting, and feeling tired all the time.  Her complaints are vague, but the nurse is suspicious she may be pregnant when the girl mentions she is late for her period.

A.  What nursing care will you provide to this young lady if she is pregnant.

B.   What nursing diagnoses will apply to this situation?

C.  What are some expected outcomes?

#4 A woman in labor has been progressing well with minimal difficulties.  The nullipara woman has been working with her coach, progressing through the process.  The fetal monitor has indicated that the fetus is in stable condition.  Suddenly, the monitor alarm goes off and exam reveals a possible prolapsed cord.

A.  What steps should you take as her nurse?

B.  What care does the mother and infant need?

C. How would you evaluate that your interventions were helpful?

#5  Your patient is a petite 23-year-old G1P0 woman.  Prenatal assessment has determined that this woman will need a cesarean birth due to cephalopelvic disproportion.

A.  What can this patient and you as the nurse do prenatally to ensure a safe delivery?

B.  What potential risks and/or complications should the nurse be aware of and prepare for?

C.  What postoperative care will this mother and/or infant need?