Page 192 - Critical Maternity & Newborn Health Nursing

• Record fetal movement daily (decrease fetal movement may indicate

fetal hypoxia).

3. Nursing interventions:-

1. Ante partum intervention

Seizure management:-

This mother is in a high risk for injury due to musculoskeletal trauma or

aspiration if eclampsia develops.

Seizure precautions:

• Assess signs of eclampsia

• Prepare seizure precaution such as oxygen, suction, tongue blade

and bedside rails

• Provide quiet environment, limited light to decrease CNS

stimulation

• Limit visitors

• Administer magnesium sulfate

• Assess magnesium toxicity

• Have antidote of calcium gluconate at bedside

• Notify attending physician if needed

During the seizure:

• Assess patency of air way

• Facilitate insertion of air way

• Observe seizure activity, time of occurrence, length of seizure and

type of activity

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