Maternity Case 2: Olivia Jones (Complex) Documentation Assignments | Download for quality grades |

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1. Document the data from your focused antepartum assessment of both Olivia Jones and the fetus. The vital signs for the Olivia were heart rate: 115, pulse was present, blood pressure: 172/102mmH... g, respiration: 22, she was alert and oriented, SPO2 92%, and the temp: 98.6. The fetal heart rate was 153. There was moderate to severe pitting edema graded to +3.the fetus is in longitudinal lie, in vertex presentation. The assessment findings for her arms, head, and chest were normal. The uterus was soft and no contractions were noted. Fetal movement was present. Deep tendon reflexes were very brisk, hyper reflexive, and with clonus graded +4. 2. Write the situation-background-assessment-recommendation (SBAR) communications you would use to update the provider on Olivia Jones’s status at the time of her admission. Hi Dr. Smith, This is Bella RN, I am calling about the patient Olivia Jones in room . Olivia is a 23-year old at 36 weeks of gestation and was admitted with preeclampsia with severe features. Her pregnancy so far has been unremarkable until routine prenatal visit at 30 weeks with hypertension and preeclampsia with no severe features. She received two doses of betamethasone at 30 weeks. She has been on bed rest at home until he [Show More]

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