Please read the following scenario and complete the questions. Use critical thinking, logic, and literature to formulate your answers.
Maria is a 35-year-old G1P0 at 37 weeks gestation. She is a single and conceived via intrauterine insemination with donor sperm. Today she arrives to the office for a 3 p.m. nonstress test and tells the nurse she had a work project due that is giving her heartburn, and she has a nagging headache because of it. She hasn’t been drinking as much water as normal due to the stress of the day. She is eager to have the appointment over so she can go home, fill up on water, pop some Tums and chill.
Upon assessment her vaginal exam is 3cm dilated, 50% effaced and -2 station. She is alert and oriented with no visual disturbances. She voided dark, clear yellow urine, and has pitting edema in bilateral lower extremities.
Vital signs: T 98.1F, HE 84, RR 18, BP 168/100, SpO2 100% on room air.
What findings should the nurse be concerned with?
What diagnosis do you suspect for the client?
What are 3 nursing interventions that you would implement for the client and why did you choose them?
What would you expect to see in the client’s symptoms or laboratory values to show that the condition is improving?