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 1 year ago

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