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Nursing management of the pregnancy at risk: Selected Health Conditions and Vulnerable Populations

MARIA IS A HISPANIC 30-YEAR-OLD WHO HAS NOT CARRIED A PREGNANCY TO TERM. SHE DEVELOPED SYSTEMIC LUPUS ERYTHEMATOSUS (SLE), OR LUPUS, WHEN SHE WAS 25 YEARS OLD. MARIA IS A G4P0 AND HAS HAD THREE PREVIOUS FETAL DEMISES. SHE IS CURRENTLY AT 32 WEEKS’ GESTATION AND HAS BEEN ASYMPTOMATIC DURING THIS PREGNANCY. MARIA HAS BEEN TAKING A DAILY DOSE OF PREDNISONE TO SUPPRESS FLARE-UPS.
A-DISCUSS THE MANAGEMENT OF CARE FOR THE REMAINDER OF MARIA’S PREGNANCY.
B-IF MARIA’S LUPUS REMAINS STABLE, WILL SHE REQUIRE ANY MODIFICATIONS TO STANDARD CARE FOR HER LABOR AND DELIVERY?
C-HOW WILL THE MANAGEMENT OF MARIA’S PREGNANCY CHANGE IF SH DEVELOPS A FLARE?

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