Page 191 - Critical Maternity & Newborn Health Nursing

Assess renal system:

• Evaluate the urine daily for protein, specific gravity, pH, and

Glucose. Intake and output record.

Assess pulmonary system:

• Evaluate the respiratory rate.

• Auscultate the lung fields to detect pulmonary edema.

• Assess signs of dyspnea.

Assess for worsening signs:

• Assess for subjective signs and symptoms as headache, visual

disturbances, and epigastric pain.

• Assess signs of HELLP syndrome as epigastric pain, jaundice,
malaise, vomiting and hematuria.

Assess reproductive system:

• Assess uterine contractions.

• Assess signs of abruptio placenta as dark red vaginal bleeding,

increase fundal height, abdominal pain.

B. Fetal well - being

Fetal heart rate:

• Check fetal heart rate every 4 hours by Doppler FHR device or

electronic fetal monitor.

Fetal movement:

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