a. What are the four different types of hypertension in pregnancy? b. How does gestational hypertension differ from preeclampsia? How will the provider determine if Maria has gestational hypertension or preeclampsia? c. What is the treatment and what educational instructions would you provide to Maria if she is diagnosed with preeclampsia?
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![Details
Case Study, Chapter 5, Nursing Care of Women with Complications During Pregnancy
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.
a. What are the four different types of hypertension in pregnancy?
b. How does gestational hypertension differ from preeclampsia? How will the provider determine if Maria has gestational
hypertension or preeclampsia?
c. What is the treatment and what educational instructions would you provide to Maria if she is diagnosed with preeclampsia?
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- Case study A woman attends the antenatal clinic to discuss the result of her glucose tolerance test (GTT). She is 42 years old and this is her 6th pregnancy. She has previously had three caesarean sections, one early miscarriage and a termination of pregnancy. All booking tests were normal as were her 11-14 week ultrasound scans. The woman is of Indian ethnic origin but was born and has always lived in the UK. She is now 26 weeks gestation and her midwife arranged a GTT for her because of a family history of Type 2 diabetes( her father and paternal aunt). Examination Her body mass index (BMI) is 31 Kg/M. BP- 146/87mmHG. The fundal Height is 29cms and the fetal heart rate is normal on auscultation. INVESTIGATIONS Urinalysis: Glycosuria-1+ GTT- Pretest fasting. 6.4 mmol/L and 2 hr post 75g glucose load: 11.3mmol/l. Questions. What is the diagnosis for this patient and on what criteria can this be made? Discuss diagnosis briefly. Construct a nursing care plan addressing 3 of patient’s…Case study A woman attends the antenatal clinic to discuss the result of her glucose tolerance test (GTT). She is 42 years old and this is her 6th pregnancy. She has previously had three caesarean sections, one early miscarriage and a termination of pregnancy. All booking tests were normal as were her 11-14 week ultrasound scans. The woman is of Indian ethnic origin but was born and has always lived in the UK. She is now 26 weeks gestation and her midwife arranged a GTT for her because of a family history of Type 2 diabetes( her father and paternal aunt). Examination Her body mass index (BMI) is 31 Kg/M. BP- 146/87mmHG. The fundal Height is 29cms and the fetal heart rate is normal on auscultation. INVESTIGATIONS Urinalysis: Glycosuria-1+ GTT- Pretest fasting. 6.4 mmol/L and 2 hr post 75g glucose load: 11.3mmol/l. Questions. Construct a nursing care plan addressing 3 of patient’s problems.( actual and potential=3)Case study A woman attends the antenatal clinic to discuss the result of her glucose tolerance test (GTT). She is 42 years old and this is her 6th pregnancy. She has previously had three caesarean sections, one early miscarriage and a termination of pregnancy. All booking tests were normal as were her 11-14 week ultrasound scans. The woman is of Indian ethnic origin but was born and has always lived in the UK. She is now 26 weeks gestation and her midwife arranged a GTT for her because of a family history of Type 2 diabetes( her father and paternal aunt). Examination Her body mass index (BMI) is 31 Kg/M. BP- 146/87mmHG. The fundal Height is 29cms and the fetal heart rate is normal on auscultation. INVESTIGATIONS Urinalysis: Glycosuria-1+ GTT- Pretest fasting. 6.4 mmol/L and 2 hr post 75g glucose load: 11.3mmol/l. Questions. Construct a nursing care plan addressing 3 of patient’s problems.( 2 actual and 1 potential nursing diagnosis=3)
- Case study A woman attends the antenatal clinic to discuss the result of her glucose tolerance test (GTT). She is 42 years old and this is her 6th pregnancy. She has previously had three caesarean sections, one early miscarriage and a termination of pregnancy. All booking tests were normal as were her 11-14 week ultrasound scans. The woman is of Indian ethnic origin but was born and has always lived in the UK. She is now 26 weeks gestation and her midwife arranged a GTT for her because of a family history of Type 2 diabetes( her father and paternal aunt). Examination Her body mass index (BMI) is 31 Kg/M. BP- 146/87mmHG. The fundal Height is 29cms and the fetal heart rate is normal on auscultation. INVESTIGATIONS Urinalysis: Glycosuria-1+ GTT- Pretest fasting. 6.4 mmol/L and 2 hr post 75g glucose load: 11.3mmol/l. Questions. Construct a Nursing Care plan addressing 3 of patient’s problems.( 2 actual and 1 potential nursing diagnosis=3). Include 2 short term and long term goals,…Case study A woman attends the antenatal clinic to discuss the result of her glucose tolerance test (GTT). She is 42 years old and this is her 6th pregnancy. She has previously had three caesarean sections, one early miscarriage and a termination of pregnancy. All booking tests were normal as were her 11-14 week ultrasound scans. The woman is of Indian ethnic origin but was born and has always lived in the UK. She is now 26 weeks gestation and her midwife arranged a GTT for her because of a family history of Type 2 diabetes( her father and paternal aunt). Examination Her body mass index (BMI) is 31 Kg/M. BP- 146/87mmHG. The fundal Height is 29cms and the fetal heart rate is normal on auscultation. INVESTIGATIONS Urinalysis: Glycosuria-1+ GTT- Pretest fasting. 6.4 mmol/L and 2 hr post 75g glucose load: 11.3mmol/l. Questions. What is the diagnosis for this patient and on what criteria can this be made? Discuss diagnosis briefly.Case Study 1 Situation: T.S, 24 years old, had last menstrual period on March 2, 2018. She has not menstruated for the past 4 months and reports positive home pregnancy test. T.S. reports increased urination, morning nausea and fatigue. T.S. has 2 other children so this would be her third pregnancy. Upon examination, T.S. is also noted to have softening of the cervix and bluish discoloration of the cervix, vagina and perineum. 1- From this data can you be sure T.S. is pregnant? Describe which signs of pregnancy T.S. may be exhibiting and explain each. What data is required in order to be sure that T.S. is pregnant? What is T.S.'s estimated due date (EDD) or estimated date of confinement (EDC)? 5- Define the terms "gravida" and "para" and how would you refer to your client's obstetrical history? 2- 3- 4-
- Case study A woman attends the antenatal clinic to discuss the result of her glucose tolerance test (GTT). She is 42 years old and this is her 6th pregnancy. She has previously had three caesarean sections, one early miscarriage and a termination of pregnancy. All booking tests were normal as were her 11-14 week ultrasound scans. The woman is of Indian ethnic origin but was born and has always lived in the UK. She is now 26 weeks gestation and her midwife arranged a GTT for her because of a family history of Type 2 diabetes( her father and paternal aunt). Examination Her body mass index (BMI) is 31 Kg/M. BP- 146/87mmHG. The fundal Height is 29cms and the fetal heart rate is normal on auscultation. INVESTIGATIONS Urinalysis: Glycosuria-1+ GTT- Pretest fasting. 6.4 mmol/L and 2 hr post 75g glucose load: 11.3mmol/l. Questions. What is the nursing diagnosis for this patient and on what criteria can this be made? Discuss diagnosis briefly.HCG QUESTIONS 1. Where is hCG produced in the female body?2. How is hCG differ from other gonadal hormones?3. Being a hormone, what is its function?4. What other conditions lead to increased hCG production aside frompregnancy?Why?5. How can these conditions be differentiated from true pregnancy?Case ScenarioA 22-year-old woman, gravida 2, para 1, presents at the maternity clinic for a prenatal visit. She is unsure of her due date and states that her last menstrual period was about seven or eight months ago. She had one prenatal check-up in the community health center, although she does not have any records from her physician or nurse-midwife. She reports that she has had an uncomplicated pregnancy so far and that earlier ultrasonography indicated that she is going to have a girl. Her medical history is unremarkable aside from a full-term cesarean delivery performed in the government hospital four years ago because of “complete breech presentation.” She is not taking any prenatal vitamins. On examination, her vital signs are unremarkable, her fundal height measures 27 cm, the fetal heart rate is 165 beats per minute, and the fetus is cephalic by Leopold’s maneuvers. 1. What is your insight on the patient’s case concerning her pregnancy? 2. How can you best minimize risks…
- CASE STUDY Chin Won, age 26 years, presents at the com- munity health center in her last trimester of pregnancy for her initial prenatal care visit. She is found to have an elevated blood pressure and excessive swelling in her legs and feet. The fetus appears small on the sonogram. Explain how things could have been different if Chin Won had sought prenatal care during her first trimester. What measures might the nurse take to ensure that Chin Won's care is family centered? What cultural aspects would be important to assess when planning Chin Won's care throughout the pregnancy and puerperium?solve it asap.dont plagarism answer? A delirious patient is admitted to the hospital in labor. She has had no prenatal care and vials of crack cocaine are found in her pockets. The nurse monitors this client carefully for which of the following intrapartal complications? 1. Prolonged labor. 2. Prolapsed cord. 3. Abruptio placentae. 4. Retained placenta.What are the moral implications of using alcohol during pregnancy?
