19.18 Learning Activities
Flashcards
Click the Turn button to flip each card and see the answer, then use the arrow to move to the next card. Continue through the set and revisit cards as needed until you can recall the answers on your own.
Drag and Drop
Drag each item to the correct location. Continue until all items are placed correctly.
Drag and Drop 1: High Blood Pressure Disorders in Pregnancy
Knowledge Check
Read each question carefully. Select the answer you think is correct. Then select Check to submit your answer. If your answer is incorrect, select Retry to try again. Use the arrow buttons to move between questions.
Check 1: Pregnancy Loss
Case Study
Miscarriage
Situation/Background
Maria Lopez, a 32-year-old G2P1, presents to the emergency department at nine weeks’ gestation with complaints of vaginal spotting and mild cramping for the past two days. Maria reports that her symptoms began after lifting heavy boxes while moving into a new home. She denies passing any clots or experiencing severe pain. Her last menstrual period was nine weeks ago, and she has had no prenatal care for this pregnancy. Maria has a history of hypothyroidism, managed with levothyroxine, and a previous uncomplicated full-term delivery three years ago.
Assessment Data
On examination, her vital signs are stable, and a pelvic ultrasound reveals an intrauterine pregnancy with no fetal heartbeat. Laboratory results show a declining beta-hCG level. Maria is diagnosed with a missed miscarriage.
Critical Thinking Questions
- What are the priority nursing assessments for Maria upon her presentation to the emergency department?
- Based on the diagnosis of a missed miscarriage, what are the possible management options for Maria? Include medical, surgical, and expectant approaches.
- How can the nurse provide emotional support to Maria and her family during this difficult time?
- What health teaching should be provided to Maria regarding signs and symptoms that require immediate medical attention following a miscarriage?
- How might Maria’s history of hypothyroidism impact her pregnancy, and what nursing interventions are appropriate to address this?
- What community resources or support groups could the nurse recommend to Maria for coping with her loss?
Case study answers are located in the Answer Key at the end of the book.
