In summary, nurses are the front line of health care. Nurses are the people most patients remember and with whom they spend most of the time. It is vital that the new recommendations are wholly understood so that nurses can fully assess care and assist the team as well as provide anticipatory guidance to women. Most startling are the changes in the diagnosis of preeclampsia. With the recognition that proteinuria does not need to be present to make a diagnosis of preeclampsia, assessment skills need to be sharpened and a full assessment of the entire person must be made to come to an accurate diagnosis. Also, it is imperative to acknowledge that these are recommendations, not policies. Not all providers will agree completely with the recommendations3 as each patient is an individual, each case is unique, and each provider will make a judgment call on the basis of the clinical picture.
-Nicole Franzen Pfaff, CNM, MSN
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin
In summary, nurses are the front line of health care. Nurses are the people most patients remember and with whom they spend most of the time. It is vital that the new recommendations are wholly understood so that nurses can fully assess care and assist the team as well as provide anticipatory guidance to women. Most startling are the changes in the diagnosis of preeclampsia. With the recognition that proteinuria does not need to be present to make a diagnosis of preeclampsia, assessment skills need to be sharpened and a full assessment of the entire person must be made to come to an accurate diagnosis. Also, it is imperative to acknowledge that these are recommendations, not policies. Not all providers will agree completely with the recommendations3 as each patient is an individual, each case is unique, and each provider will make a judgment call on the basis of the clinical picture. -Nicole Franzen Pfaff, CNM, MSN University of Wisconsin School of Medicine and Public Health Madison, Wisconsin
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