Complete Rachel Hardy Shadow Health Obstetric Assessment covering gestational hypertension at 32 weeks, BP 148/96, preeclampsia monitoring, fundal height 32cm, FHT 152bpm, urine protein trace, and the SBAR handoff and care plan documentation.
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Rachel Hardy is a 32-week pregnant patient presenting with gestational hypertension and early signs of preeclampsia. Blood pressure is 148/96 mmHg, urine protein shows a trace, fundal height measures 32cm, and fetal heart tones are 152 bpm. The case requires students to differentiate gestational hypertension from preeclampsia, monitor maternal-fetal status, and complete structured SBAR documentation.
The assessment covers a full obstetric history, maternal vital signs, fetal surveillance, and lab interpretation. Students must prioritize correctly — recognizing when BP trends and proteinuria together cross the threshold requiring escalation, and how to document that reasoning in the EHR.
The completed bundle reflects the actual Rachel Hardy case flow: subjective health history, objective obstetric findings, preeclampsia monitoring protocol, SBAR handoff to the obstetric provider, and a completed maternity care plan with nursing diagnoses.
BP 148/96 and trace protein together at 32 weeks require the student to document the clinical threshold and reasoning, not just the numbers. The case is stronger than generic hypertension copy because it ties findings to escalation criteria.
FHT 152bpm and fundal height 32cm at 32 weeks are both documented with the normal-range context that helps students understand when findings are reassuring versus requiring escalation.
The SBAR section is written for obstetric provider communication, with situation framed around BP trend, background on gestational age and prenatal history, assessment of preeclampsia risk features, and a specific recommendation.
The care plan includes risk for decreased placental tissue perfusion and deficient knowledge, with measurable goals and evidence-based interventions tied to the obstetric findings.
Blood pressure 148/96 mmHg, trace urine protein, FHT 152bpm, fundal height 32cm at 32 weeks gestation. Reflexes and edema are assessed and documented as part of the preeclampsia workup.
FHT 152bpm with normal variability noted. Fundal height is 32cm, consistent with gestational age. The documentation reflects reassuring fetal status in the context of maternal hypertension requiring close monitoring.
The situation is framed around a 32-week patient with BP 148/96 and trace proteinuria requiring provider notification. Background covers gestational age, prenatal history, no prior hypertension, and current symptom review.
Assessment documents preeclampsia risk features based on BP threshold and proteinuria. Recommendation includes maternal BP monitoring, repeat urine protein, fetal surveillance, and review of escalation criteria.
Nursing diagnoses are ordered by priority with risk for decreased placental tissue perfusion listed first. Goals are measurable and interventions are linked to evidence-based obstetric monitoring guidelines.
Patient education covers warning signs requiring immediate return, BP monitoring at home, activity modifications, and the importance of follow-up visits. Teaching is documented in the EHR.
The case combines BP 148/96, trace proteinuria, 32-week gestation, and FHT 152bpm in one encounter. Students must document the preeclampsia threshold reasoning, not just the numbers, which is more complex than generic obstetric assessment copy.
The case documents BP 148/96 with trace proteinuria at 32 weeks. The absence of severe-range BP, severe symptoms, or significant proteinuria places the patient in the gestational hypertension category, but the trace protein requires documentation of close monitoring and threshold awareness.
The SBAR covers the situation of a 32-week patient with elevated BP and trace protein, background of prenatal history and no prior hypertension, assessment of preeclampsia risk, and a recommendation for monitoring, repeat labs, and provider review.
The care plan prioritizes risk for decreased placental tissue perfusion and deficient knowledge related to gestational hypertension management, with measurable goals and evidence-based obstetric interventions.
Yes. All findings, documentation, and care plan content are based on the actual Rachel Hardy Shadow Health obstetric assessment materials, including BP values, fetal findings, SBAR structure, and nursing diagnoses.
Every document on NursingProxy is written by a board-certified PMHNP-BC — not AI, not tutors, not crowdsourced answers. When you access the Rachel Hardy documents you receive a full obstetric assessment transcript, BP monitoring documentation, preeclampsia risk findings, SBAR handoff, and a completed maternity care plan with nursing diagnoses. Each file is verified to meet the grading criteria used by nursing programs that assign this case.
Students use these materials to check their own work, understand what the platform rewards, and ensure their submission is complete before the deadline. The documents are written to reflect what a competent, thorough nurse would actually produce — not generic template answers.