WHAT NURSING ACTIONS CAN YOU INITIATE AT THIS POINT PRIOR TO CALLING THE DOCTOR?
What nursing actions can you initiate at this point prior to calling the Doctor?
You are working in a high risk L&D unit and just received a call from Dr Green saying that he is sending in a 38 year old approximate 32wk G2P1 in for elevated blood pressures in the office and is needing an NST, continuous monitoring of BP and further labs. The patient was a drop-in to the clinic without previous prenatal care. She is unsure of her LMP and states that her two year old son “came early” at 36 weeks which was a vaginal delivery without any anesthesia, “because he came so fast”. She is not reporting any contractions or pain at this time. During her office visit she presents at 2/70/-3. She has no support person with her.
Mary’s demeanor is now anxious and tearful and she reports allergy to PCN
What nursing actions can you initiate at this point prior to calling the Doctor?
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