The client at 32 weeks’ gestation presents to the ER with a…

The client at 32 weeks’ gestation presents to the ER with a severe headache and BP of 184/104 mmHg. Based on the assessment and lab results, which of the following complications warrant further assessment by the nurse? Laboratory Test Client Results Lab Ranges Total serum bilirubin 2.2 mg/dL 0.1-1.2 mg/dL Lactate dehydrogenase (LDH) 782 units/L 140-280 units/L AST (SGOT) 84 units/L < 40 units/L ALT (SGPT) 70 units/L 7-56 units/L Plt 99,000 / mm3 150,000-450,000 /mm3 Hgb 12.1 g/dL 12-15 g/dL Hct 36.3% 36-48% Serum creatinine 1.3 mg/dL 0.7-1.2 mg/dL

While caring for the client in labor, the patient begins to…

While caring for the client in labor, the patient begins to complain of increasing pelvic pressure and states that she feels like she needs to have a bowel movement. The fetal heart rate (FHR) is 140-145 bpm with moderate variability. For the past several contractions, the fetal heart rate gradually declines below the baseline as the contraction intensity is increasing. The lowest point of the FHR drop from baseline is coinciding with the peak of the contraction. Based on this information, select the nurse’s next actions. Select the two options that apply.