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    NCP - Gestational Hypertension

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    Cameron De Guzman
    This patient presented with gestational hypertension. Assessment findings included elevated blood pressure and general weakness. The nursing diagnosis was impaired tissue perfusion related to maternal hypovolemia. The plan was to monitor the patient and fetus closely through tests such as NSTs and biophysical profiles. Interventions focused on education, monitoring fetal activity and growth, assessing the fetus' response to stress, and administering corticosteroids if premature delivery was necessary to promote fetal lung maturity. The overall goal was to prevent progression of the hypertension and promote the best outcomes for both mother and baby.

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    NCP - Gestational Hypertension

    Uploaded by

    Cameron De Guzman
    222 views3 pages
    This patient presented with gestational hypertension. Assessment findings included elevated blood pressure and general weakness. The nursing diagnosis was impaired tissue perfusion related to maternal hypovolemia. The plan was to monitor the patient and fetus closely through tests such as NSTs and biophysical profiles. Interventions focused on education, monitoring fetal activity and growth, assessing the fetus' response to stress, and administering corticosteroids if premature delivery was necessary to promote fetal lung maturity. The overall goal was to prevent progression of the hypertension and promote the best outcomes for both mother and baby.

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    NCP_GESTATIONAL HYPERTENSION

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    This patient presented with gestational hypertension. Assessment findings included elevated blood pressure and general weakness. The nursing diagnosis was impaired tissue perfusion related to maternal hypovolemia. The plan was to monitor the patient and fetus closely through tests such as NSTs and biophysical profiles. Interventions focused on education, monitoring fetal activity and growth, assessing the fetus' response to stress, and administering corticosteroids if premature delivery was necessary to promote fetal lung maturity. The overall goal was to prevent progression of the hypertension and promote the best outcomes for both mother and baby.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    222 views3 pages

    NCP - Gestational Hypertension

    Uploaded by

    Cameron De Guzman
    This patient presented with gestational hypertension. Assessment findings included elevated blood pressure and general weakness. The nursing diagnosis was impaired tissue perfusion related to maternal hypovolemia. The plan was to monitor the patient and fetus closely through tests such as NSTs and biophysical profiles. Interventions focused on education, monitoring fetal activity and growth, assessing the fetus' response to stress, and administering corticosteroids if premature delivery was necessary to promote fetal lung maturity. The overall goal was to prevent progression of the hypertension and promote the best outcomes for both mother and baby.

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    © All Rights Reserved
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    of 3

    Name: De Guzman, Cameron Josh B.

    GESTATIONAL HYPERTENSION Section: 2BSN-B

    ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTIONS RATIONALE EVALUATIONS


    Objective: Impaired Nursing care for PIH Do a nonstress Independent 1.Decrease in placental Patient
    blood flow results in demonstrates
    T: 37.5 Tissue involves providing test (NST),
    1.Present information to reduced gas exchange normal CNS
    Perfusion adequate nutrition, Biophysical profile and impaired nutritional reactivity on
    P: 75 patient/couple concerning
    related to good prenatal care, and, Doppler flow functioning of the nonstress test
    R: 13
    home assessment or placenta. Potential (NST)
    maternal and control of pre- studies to the
    noting daily fetal outcomes of poor
    BP: 140/80 hypovolemia existing hypertension check both the
    movements and when to placental perfusion
    in relation during pregnancy patient and the include a malnourished, Patient is free of
    -clammy skin seek immediate medical
    with decrease the baby LBW infant, and late deceleration
    - Pale skin attention. prematurity associated
    Intrauterine incidence and severity
    with early delivery,
    growth of preeclampsia. Early 2. Name factors affecting abruptio placentae, and Patient has no
    retardation recognition and fetal activity. fetal death. Reduced decrease in FHR
    Subjective:
    prompt treatment of fetal activity means fetal on contraction
    The patient felt 3. Report signs of vaginal compromise (occurs
    preeclampsia can stress
    nausea, and bleeding, uterine before detectable test/oxytocin
    generalized prevent progression tenderness, abdominal alteration in FHR and challenge test
    weakness to eclampsia. pain, and decreased fetal indicates demand for (CST/OCT).
    immediate
    activity evaluation/intervention.

    4. Evaluate fetal growth; 2. Cigarette smoking,


    measure progressive medication/drug use,
    serum glucose levels,
    fundal accompany growth environmental sounds,
    at each office visit or time of day, and sleep-
    periodically during stress wake cycle of the fetus
    home visits, as can increase or decrease
    fetal movement.
    appropriate.
    INTERVENTIONS RATIONALE
    5. Check FHR manually or 3. Immediate attention and
    electronically, as indicated. intervention increases the
    likelihood of a positive outcome
    6. Note fetal response to
    medications in direction of 4. Reduced placental
    the doctor such as MgSO4, functioning may accompany
    phenobarbital, and PIH, resulting in IUGR. Chronic
    diazepam. intrauterine stress and
    uteroplacental insufficiency
    Dependent
    decrease amount of fetal
    7. Assess fetal response to contribution to amniotic fluid
    BPP criteria or CST, as pool.
    maternal status indicates.
    5. Helps evaluate fetal well-
    8. Assist with assessment being. An elevated FHR may
    of fetal maturity and well- show a compensatory response
    being using L/S ratio, to hypoxia, prematurity, or
    presence of PG, estriol abruptio placentae.
    levels, FBM, and
    sequential sonography
    beginning at 20–26 weeks’
    gestation.
    INTERVENTIONS RATIONALE
    9. Assist with assessment 6. In the event of declining maternal/fetal condition,
    of maternal plasma risks of delivering a preterm infant are weighed
    volume at 24–26 weeks’ against the risks of continuing the pregnancy, using
    gestation using Evans’ results from evaluative studies of lung and kidney
    blue dye when indicated. maturity, fetal growth, and placental functioning.
    IUGR is associated with reduced maternal volume and
    10. Utilizing an
    vascular changes.
    ultrasonography, assist
    with assessment of 9. Identifies fetus at risk for IUGR or intrauterine fetal
    placental size. demise associated with reduced plasma volume and
    reduced placental perfusion.
    11. Give corticosteroid
    (dexamethasone, 10. Reduced placental function and size are associated
    betamethasone) IM for at with PIH.
    least 24–48 hr, but not
    11. Corticosteroids are thought to induce fetal
    more than 7 days before
    pulmonary maturity (surfactant production) and
    delivery, when severe PIH
    prevent respiratory distress syndrome, at least in a
    necessitates premature
    fetus delivered prematurely because of condition or
    delivery between 28 and
    inadequate placental functioning. Best results are
    34 weeks’ gestation.
    obtained when fetus is less than 34 weeks’ gestation
    and delivery occurs within a week of corticosteroid
    administration

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