Nursing Case Study Hypertension in Pregnancy

Question: Discuss about the Nursing Case Study for Hypertension in Pregnancy. Answer: 1. The preliminary diagnosis for the patient in the given case study is pre-eclampsia. The patient has significant proteinuria and new-onset hypertension. The diagnosis is further supported by moderately elevated haemoglobin which suggests that haemoconcentartion, uric acid which is higher than the normal range for 33 weeks of gestation along with serum creatinine which is also elevated than expected at 33 weeks of gestation. The risk factors include miscarriage and complications at the time of delivery. The rationale for my decisions relies on the conditions of her previous pregnancy 2 years ago in which she suffered a miscarriage together with the symptoms she is having in the present scenario (Li et al., 2014). 2. The subsequent clinical management and midwifery care for Kavitha will encompass treating the blood pressure that will lead to the reduction of the risk of occurrences of s hypertension which is severe and could be unsafe (Vest Cho, 2014). Therefore the patient should be informed of the diagnosis and should be advised to stay in the hospital till the time of delivery. The gynecologist should inform her regarding the symptoms of pre-eclampsia along with placental abruption and should be advised to visit a neonatal unit and attend counselling sessions from a neonatologist. In her case, there are greater chances of delivery by Caesarean section; hence it should be discussed with her in advance and an anaesthetic assessment should be held before (Li et al., 2014). 3: Hypertension- It refers to a medical condition in which the pressure of blood in the arteries gets elevated and is also called as High Blood Pressure (HBP) (Vest Cho, 2014). Pre-eclampsia- It is a pregnancy disorder which is characterized by elevated blood pressure together with a large quantity of protein in the urine. It generally occurs in the third trimester of pregnancy. Eclampsia- It is a serious condition which results in seizures during the period of pregnancy and is occurs rarely.1 in every 200 women gets affected by this condition. References Li, X. L., Chen, T. T., Dong, X., Gou, W. L., Lau, S., Stone, P., Chen, Q. (2014). Early onset preeclampsia in subsequent pregnancies correlates with early onset preeclampsia in first pregnancy.European Journal of Obstetrics Gynecology and Reproductive Biology,177, 94-99. Vest, A. R., Cho, L. S. (2014). Hypertension in pregnancy.Current atherosclerosis reports,16(3), 1-11.