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A 23-year-old patient in the clinic has just had her pregnancy confirmed by the physician. She...

A 23-year-old patient in the clinic has just had her pregnancy confirmed by the physician. She has a history of Type I diabetes.As a result of her high-risk status,

what are some additional assessment measures that need to be emphasized during her prenatal care?

What stressors might this patient and her family have to deal with as a result of her status as a pregnant diabetic woman?

Maria is an 18-year-old G1P0, 34 weeks’ gestation who is being sent to the labor and delivery floor for monitoring of her blood pressure and to monitor for other signs of preeclampsia.

Identify the four different types of hypertension in pregnancy.

Discuss gestational hypertension and how this differs from preeclampsia. How will the provider determine if Maria has gestational hypertension or preeclampsia?

What is the treatment and what educational instructions would you provide to Maria if she is diagnosed with preeclampsia?

Solutions

Expert Solution

<•>Some additional assessment which has to be emphasized innprenatal care are

  • Laboratory investigation:Renal profile ,liver profile,HbA1c, fasting and postprandial blood glucose levels, creatinine
  • Urine protein
  • ECG, Echocardiogram to adses the heart function
  • Chest X ray
  • Vital signs:blood pressure monitoring
  • Weight assessment frequently
  • Obstetric ultrasound once a month after second trimester

The stressors which the patient and family members should deal with are

  • Psychosocial stress
  • Acute stress in coping with the new diagnosis abd management
  • Physical stress for patient

<•>The four types of hypertension during pregnancy are

  • Gestational hypertension occurs during the pregnancy period only and later resolves
  • Chronic hypertension is continuous very high blood pressure throughout the pregnancy . This is also called as oee existing hypertension
  • Pre eclampsia_eclampsia is a state where seizure occurs because of elevated blood pressure
  • Pre eclampsia superimposed due to pre existing hypertension in the pregnant women

<•>Gestational hypertension is elevated blood pressure during pregnancy after twenty weeks and f pregnancy

It differs from preeclampsia in the following way

Pre eclampsia occurs after gestational hypertension

Presence of protein in urine

Seizure can occurs rcduring pregnancy

<•>The education and treatment if duahnosed with ore eclampsia are

  • Take medication as prescribed
  • Do not skip , underdose, overdose medication
  • Regular and periodic health check-up
  • Monitor blood pressure
  • Report incase of any abnormal feeling like headache, elevated blood pressure, bleeding
  • Follow relaxation techniques like yoga , meditation

Nightingale answered 2 years ago
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