Past Medical history of pyelonephritis.

Client is a 20 -year-old primigravida who is at 18 weeks of gestation and has a past medical history of pyelonephritis. Client is alert and oriented to person, place, time, and situation. Oral mucosa is dry. Turgor without tenting. Client reports 2.3�� (5 lb) weight loss within the past 2 weeks. Fetal Heart Rate (FHR) 145 in lower suprapubic area via external Doppler ultrasound stethoscope.

Diagnostic Results

Urinalysis:

Glucose: Negative (negative)

Blood: None (none)

WBC: None ( none)

Ketones: +3 (none )

Vital Signs

Temperature: F)

Heart rate: 108/min Respiratory rate: 22 min Blood pressure: 10060�� �� Oxygen saturation: 98%

Actions to take

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Potential Condition

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Parameters to Monitor

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