Sample Health Care Paper on Hypertensive Disorder of Pregnancy (Preeclampsia)

Hypertensive Disorder of Pregnancy (Preeclampsia)

Clinical Assessment

The nurse should ask TH about her medical history, specifically about any hypertension or other cardiovascular conditions. The nurse should also ask about TH’s family hypertension or cardiovascular disease history. Additionally, the nurse should ask TH about her lifestyle, diet, and any stressors she may be experiencing. The nurse should ask about TH’s use of alcohol, tobacco, and other substances. Finally, the nurse should ask TH about her symptoms and how she has been feeling during her pregnancy.

Each of these questions is important to get a complete picture of TH’s health and to identify any risk factors for hypertension or cardiovascular disease. By asking about TH’s medical history, the nurse can determine if she is at increased risk for these conditions. It is essential to ask TH about her other medical conditions because some medical conditions can increase the risk of developing the condition during pregnancy (Folk, 2018). For instance, pregnant women who have diabetes are more likely to develop hypertension.

By asking about TH’s family history, the nurse can identify if there is a genetic predisposition for these conditions. Asking about TH’s lifestyle and diet will help the nurse identify any unhealthy habits contributing to her high blood pressure. Asking about stressors will help the nurse identify if TH is experiencing any psychological stress that may be contributing to her high blood pressure (Folk, 2018). Finally, asking about TH’s symptoms will help the nurse determine if she is experiencing any other problems that may be related to her hypertension.

Additional Physical Assessment Data

The nurse should obtain additional physical assessment data, including fundal height, weight, and urine protein levels. These assessment strategies were selected because they are essential in assessing hypertension severity and preeclampsia risk. These assessment strategies were selected because they will provide information about the mother’s and baby’s well-being and help rule out or confirm a diagnosis of hypertensive disorder during pregnancy.

Fundal height measurement can help to assess the severity of hypertension and the risk for preeclampsia. A fundal height measurement more significant than the expected range may indicate hypertension and the need for further evaluation. Weight is also an important assessment tool in hypertensive disorders of pregnancy. An increase in weight can indicate fluid retention, which can signify preeclampsia. Urine protein levels can also help to assess the severity of hypertension and the risk for preeclampsia. Protein in the urine can be a sign of renal dysfunction, a complication of hypertension.

Risk Factors for Preeclampsia

There are a number of preeclampsia risk factors for TH. She is first-time pregnant, of course. This condition raises the risk of preeclampsia since first-time mothers are more likely to have it than women who have previously given birth. Second, TH is 42 years old. This age is a risk factor because older mothers are more likely to develop preeclampsia than younger mothers. Third, TH has high blood pressure (Shiozaki & Saito, 2018). Due to the correlation between hypertension and preeclampsia, this condition should be considered a risk factor. Fourth, TH has a family history of preeclampsia. Due to the increased incidence of preeclampsia in mothers who have a family history of the disease, this is a risk factor.

Each of these risk factors increases TH’s risk for preeclampsia. First, being pregnant for the first time increases TH’s risk because first-time mothers are more likely to develop preeclampsia. This is due to the fact that the placenta is not as well-established in first pregnancies, and this can lead to problems with blood flow and nutrient delivery to the fetus (Shiozaki & Saito, 2018). Second, TH’s age increases her risk because older mothers are more likely to develop preeclampsia. This is because the older a woman is, the greater her risk of developing hypertension and other conditions that can lead to preeclampsia.

Third, TH’s high blood pressure increases her risk because hypertension is a risk factor for preeclampsia. This factor is due to the fact that hypertension can lead to problems with blood flow and nutrient delivery to the fetus. Fourth, TH’s family history of preeclampsia increases her risk because mothers with a family history of preeclampsia are more likely to develop the condition themselves. This is because preeclampsia is a genetic condition, and mothers with a family history of the condition are more likely to pass it on to their children.

Differences Between Preeclampsia from Gestational Hypertension

There are a few critical pieces of data that help to differentiate preeclampsia from gestational hypertension. Firstly, preeclampsia is typically diagnosed after 20 weeks of gestation, whereas gestational hypertension can occur at any point during pregnancy. Secondly, preeclampsia is defined by elevated hypertension and proteinuria, while gestational hypertension is marked primarily by increased blood pressure (Amon & Dickert, 2021). Lastly, preeclampsia can lead to more severe complications such as eclampsia, placental abruption, and liver and kidney damage, while gestational hypertension typically does not. The most critical data point is the presence of proteinuria.

Proteinuria is a sign of renal dysfunction and is typically not seen in gestational hypertension. The other data points, such as the timing of the diagnosis and the potential complications, can help to differentiate the two conditions further. Still, proteinuria is an essential data point to look for when trying to diagnose preeclampsia. It is possible for preeclampsia to cause maternal and fetal morbidity and death. Contrarily, gestational hypertension is a less severe kind of high blood pressure that develops during pregnancy and often goes away after birth (Amon & Dickert, 2021).

Description of Significant and Common Complications of Preeclampsia

The most common complication of severe preeclampsia is premature birth. Premature infants are at risk for a variety of medical conditions, such as respiratory infections, intracardiac hemorrhage, and necrotizing enterocolitis (Shiozaki & Saito, 2018). They may also have difficulty feeding and gaining weight and may be more susceptible to infection. Some preterm infants in the neonatal critical care unit need specific treatment. Other complications of severe preeclampsia include seizure, stroke, kidney failure, and death. Seizures can occur when the blood pressure is very high and can lead to brain damage. A stroke can occur when the blood flow to the brain is interrupted. Kidney failure can occur when the kidneys cannot filter the blood properly. If severe preeclampsia is not treated, it can lead to death for both the mother and the baby.

Labour Induction

Induction of labour is a medical procedure used to bring on labour. It is typically done when there is a medical reason to deliver the baby, such as when the mother has high blood pressure or is not growing correctly (Coates et al., 2020). Induction of labour can be done in several ways, including with medication or a mechanical device. The process of inducing labor has a number of complications, including the possibility of uterine rupture, which may have major negative health effects on both the mother and the unborn child. There is also the risk of infection, which can be severe for both the mother and baby. In some cases, labour induction may not be successful, and a cesarean section (C-section) may be necessary.

The decision to induce labour should be made only after carefully considering all the risks and benefits. Labour induction may sometimes be delayed until 37 or 38 weeks of gestation to allow the baby to grow and develop further before birth (Coates et al., 2020). However, if the mother’s health is at risk, labour induction may be necessary, even if it means the baby is born prematurely. TH should be allowed to ask questions and express her concerns. She must understand the risks and benefits of both inductions of labour and waiting to induce labour. The nurse should provide TH with information about induction’s risks and benefits and benefits and waiting to induce labour. TH must understand the risks and benefits of both options to make an informed decision about her care.

Nursing Priorities for TH

The three top nursing priorities for TH are to assess her for signs and symptoms of preeclampsia, to monitor her blood pressure closely, and to educate her on the signs and symptoms of preeclampsia. Preeclampsia is a potentially fatal condition that affects both mothers and their unborn children during pregnancy. Assessing TH for preeclampsia symptoms is the most crucial thing the nurse can do for her. These include high blood pressure, proteinuria, oedema, and headaches (Ahmed Mohamed et al., 2022). If TH is found to have any of these signs or symptoms, she will need to be monitored closely and may require hospitalization for treatment.

Monitoring blood pressure is essential because it is a crucial indicator of preeclampsia. Pregnancy-related elevated blood pressure and protein in the urine are symptoms of preeclampsia, which may be identified. Preeclampsia, if neglected, may result in serious consequences for both the mother and the unborn child, including the potentially fatal condition eclampsia (Ahmed Mohamed et al., 2022). Bp readings that are consistently above 140/90 mm Hg are indicative of preeclampsia. If TH’s blood pressure readings continue to increase, she may need to be hospitalized for treatment.

Providing education about preeclampsia and its potential complications is essential because it can help women be aware of the condition and seek medical attention if they experience any signs or symptoms. Additionally, education can help women understand the importance of monitoring their blood pressure and the potential complications that can occur if preeclampsia is left untreated.

 

 

Reference

Ahmed Mohamed, E., Youness, E., kamel, H., & Hasab Allah, M. (2022). Impact of self-care guidelines on women’s awareness and identification of early signs and symptoms of preeclampsia. Minia Scientific Nursing Journal, 012(1), 2–9. https://doi.org/10.21608/msnj.2022.151345.1028

Amon, E., & Dickert, E. (2021). Gestational hypertension and pre-eclampsia. Clinical Maternal-Fetal Medicine Online. https://doi.org/10.1201/9781003222590-6

Coates, D., Makris, A., Catling, C., Henry, A., Scarf, V., Watts, N., Fox, D., Thirukumar, P., Wong, V., Russell, H., & Homer, C. (2020). A systematic scoping review of clinical indications for induction of labour. PLOS ONE, 15(1). https://doi.org/10.1371/journal.pone.0228196

Folk, D. M. (2018). Hypertensive disorders of pregnancy: Overview and current recommendations. Journal of Midwifery & Women’s Health, 63(3), 289–300. https://doi.org/10.1111/jmwh.12725

Shiozaki, A., & Saito, S. (2018). Risk factors for preeclampsia. In Preeclampsia (pp. 3-25). Springer, Singapore.