Educate patient on stress management through deep breathing exercises, and relaxation techniques. Offer assurance. Desired Outcome: The patient will demonstrate alternate periods of desired activities and rest/sleep. Pregnancy Induced Hypertension PIH Nursing Diagnosis Care Plan Pregnancy Induced Hypertension PIH Nursing Diagnosis Care Plan NCLEX Review. Kegel’s exercises. Some don’t realize this is happening until end-organ damage occurs, li… Newborn Nursing Care Plan and Assessment: To assess the condition of the newborn in the neonatal period, the following factors are necessary to devise new nursing care plans. Stress causes a persistent increase in cortisol levels, which has been linked to people with hypertension. It is sometimes called gestational hypertension, and can progress to a serious complication known as preeclampsia which can put a life-threatening risk for both the mother and her baby. Obstetrical Care / Hypertension Nursing Care Plan of Pregnancy Induced Hypertension Pregnancy induced hypertension (PIH) encompasses a broad spectrum of maternal blood pressure disorders ranging from gestational HTN to pre-eclampsia and HELLP syndrome. 4. Encourage the next of kin, relative, or carer of the pregnant patient to participate in her care, such as monitoring hydration and diet, and activities of daily living where the patient require a helping hand. A plan of care specifically designed for the woman with preeclampsia must be superimposed on the nursing care all women need during labor and the birth process. They can be used post-partum and are compatible with breastfeeding. Nursing Care Plan of Pregnancy Induced Hypertension. These women need additional nursing care and support based on the seriousness of the risk or disease. Assess for signs of labor (possibility of abruption placenta). A. Gestational hypertension can be found in about 7 to 10 percent pregnancies in the U.S. Once the baby is delivered, the mother’s blood pressure is expected to normalize within 6 weeks postpartum.eval(ez_write_tag([[580,400],'nursestudy_net-medrectangle-4','ezslot_0',116,'0','0'])); Some pregnant women may not present with any signs and symptoms of PIH. The following are the 3 common types of gestational hypertension: Chronic Hypertension– Women who have high blood pressure (over 140/90) before pregnancy, early in pregnancy (before 20 weeks), or continue to have it after delivery. Monitor blood pressure in sitting or side-lying position. Encourage the pregnant patient to follow a healthy lifestyle, such as smoking cessation and avoidance of illegal drug use, proper hydration, enough sleep, and appropriate diet. So far, nursing care during the antenatal period has focused on reducing the negative aspects of pregnancy, such as stress and uncomfortable symptoms related to pregnancy (Takao, 2002; Watabnabe, Kawasaki, Sato, Hayatu, & Ueda, 1997). This nursing care was carried out after “recognizing and acknowledging negative feelings”. Instruct the patient to have bedrest and avoid environmental stressors. A daily intake of 80 to 100g of protein is ideal to achieve stable oncotic pressure and replace any proteins excreted by the body through the passage of urine. Risk for Maternal Injury. The focus of KW's care plan became "expectant management," with preparation for delivery at no more than 37 weeks' gestation and intensive maternal and fetal monitoring, the frequency of which was based on findings of maternal and neonatal surveillance. Gestational hypertension normally resolves within about 6 weeks after delivery. The data was collected by using nursing assessment tool prepared by the researcher. Preeclampsia is hypertension that occurs in pregnancy after after 20 weeks gestation. To check for the presence of protein in the urine. Antihypertensive medications. Preeclampsia, the nonconvulsive form of the disorder, is marked by the onset of hypertension after 20 … To create a baseline of activity levels and mental status related to fatigue and activity intolerance. … PIH is a manageable health condition that can be monitored and treated properly with the above nursing care plans. Common antihypertensives for PIH include hydralazine, MgSO4, and nifedipine. 1,240 Views. Preeclampsia is hypertension that occurs in pregnancy after after 20 weeks gestation. Nursing Care Plan. Pregnancy induced hypertension (PIH) encompasses a broad spectrum of maternal blood pressure disorders ranging from gestational HTN to pre-eclampsia and HELLP syndrome. Desired Outcome: The patient will have an improved cardiac output through well-controlled blood pressure levels throughout the remainder of her pregnancy. This module provides nurses with information about the differentiation of hypertensive disorders of pregnancy, the effect on the mother and fetus, and recommended management. Kita has had an unremarkable pregnancy, which was conceived thru IVF. Cerebral edema and vasoconstriction reduce the oxygen supply in the brain, which may result to celebral ischemia and is evidences by lower levels of consciousness using AVPU scale (i.e. 2. HTN is called the silent killer because it can begin to cause problems without any symptoms. Maternity, Nursing Care Plans 2. This is a must have! Refer the patient to a dietitian for proper monitoring and advice of salt, caloric and protein intake. Place the patient in complete bed rest during severe headaches. Teach the patient and her partner or next of kin on how to perform home assessment which includes noting daily fetal movements and identifying signs of fetal distress and how to get help immediately. 3. The following nursing management encompasses the basic dietary and lifestyle adaptations to avoid obesity during pregnancy: Assess her previous nutritional status and eating preferences Also, assess for the presence of vices like smoking and alcohol abuse and if there is the presence of illnesses like diabetes, hypertension , or cardiac diseases. Deficient Knowledge 7. Frequency occurs early in the pregnancy and late in the pregnancy. Nurse Tutoring, Nursing school help, nursing school, Nursing student, nursing student help, NCLEX, NCLEX Practice exams Nursing Care Plan for Hypertension. Blood pressure is essentially the amount of blood the heart pumps, as well as the resistance to blood flow in the actual arteries. Suggestions were made for coping with the symptoms, with support and encouragement given to regard their pregnancy in a different way. Decrease in fetal activity may mean fetal compromise or distress, which requires immediate medical attention. Over the next several weeks, KW's monitoring included ... of early-onset preeclampsia that required delivery before 34 weeks' gestation or preeclampsia in … Administer prescribed pain medications. Risk for Injury: Vulnerable for injury as a result of environmental conditions … Hypertension is defined as a systolic blood pressure greater than 140 mmHg and a diastolic pressure of more than 90 mmHg. Ensure that the exercise is safe to perform during the patient’s current stage of pregnancy. Table 2 : Ongoing treatment with antihypertensive medication Their use in the third trimester has been associated with fetal death and neonatal renal failure. This site is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Encourage progressive activity through self-care and exercise as tolerated. Fluid retention may be evident if the mother has a weight gain of more than 1.5kg/month during the 2. To decrease cerebral vascular pressure and promote blocking of sympathetic response. Adequate hydration, low salt diet, and regular prenatal checkups are also important. Bedrest and stress management. The baby may be delivered earlier than expected if the risks for the mother and the baby become higher. If there is more blood and/or smaller arteries, naturally the pressure will be higher. All nurses who work in the maternal-child setting should have knowledge of hypertensive disorders in pregnancy and their management to provide safe, evidence-based care. The nursing concepts are going to be reproduction because gestational hypertension is caused by the reproduction and always remember there’s a second life at stake. Nursing care was rendered based on the needs and Perform urine dipstick analysis using a midstream urine (MSU). Assess the patient’s activities of daily living, as well as actual and perceived limitations to physical activity. Nursing Care Plans for HELLP Syndrome Nursing Care Plan 1. Advise the woman not to restrict her fluids to diminish the frequency of urination, instead; caffeine intake should be diminished. Nursing Care Plan Nursing diagnosis: Excess fluid volume related to pathophysiologic changes of … Provide information to enhance self-care and therapeutic management. To ensure that the mother has adequate oral hydration or if there is a need to commence IV hydration therapy. To effectively monitory the patient’s daily nutritional intake and progress in weight goal. To ensure that blood pressure levels are well-controlled. The doctor may prescribe appropriate anti-hypertensives such as magnesium sulfate to control the blood pressure levels. Desired Outcome: The patient will maintain safety and participate in measures that will protect self during pregnancy. Prevent or reduce progressive fluid accumulation and other complications. Method for Mastering Nursing Pharmacology. Uteroplacental dysfunction. Monitor magnesium sulfate (given to prevent eclamptic convulsions). The goal is to stabilize blood pressure at … Dear Other Guys, Stop Scamming Nursing Students. Leave a comment Assess for emotional status. According to 2011 data, from the Informatics ... reasoned plan of care in the incorporation of research to practical results. Age of the mother (younger than 20 or older than 40), multiple fetuses (such as twins, triplets, etc.). Gestational Hypertension– High blood pressure that develops after week 20 in pregnancy and goes away after delivery. Pregnancy Induced Hypertension Nursing Care Plan 1. The 22-year-old client with gestational hypertension whose latest BP was 141/89 ... 5 Steps to Writing a (kick ass) Nursing Care Plan. 5. The healthcare team may use different methods to monitor the baby, including biophysical profile, non-stress test, and Doppler flow studies. The overall goal is to ensure the safety of both the mother and her baby. To allow enough oxygenation in the room. The primary nursing responsibilities for long-term management of hypertension are to assist the patient in reducing BP and complying with the treatment plan. Pre-eclampsia. Preventing injury 4. Nursing Care Plan 1. Hypertensive disorders are the second leading cause of maternal deaths, being only be- ... reasoned plan of care in the incorporation of research to practical results. Low impact exercises for 30 minutes a day is also recommended to prevent PIH. Hypertension is one of the most common lifestyle diseases to date. Monitor fetal growth by measuring the fundus, and check fetal heart rate at each clinic visit. Obstetrical Nursing – Pregnancy Induced Hypertension: Pregnancy-Induced Hypertension. To allow the patient to relax while at rest and to facilitate effective stress management. Table 2 : Ongoing treatment with antihypertensive medication Hypertension in Pregnancy •Ranks 5th as contributor to maternal and perinatal morbidity and mortality •Texas ranks 43rd for Maternal Mortality- Black women died 2.3 x greater rate •Hypertensive disorders of pregnancy are the most common medical complication reported during pregnancy Desired Outcome: The patient will demonstrate relief of pain as evidenced by a pain score of 0 out of 10, stable vital signs, and gaining a better appetite. Prepare the patient for admission if there is any evidence of CNS involvement. PIH usually goes away 6 months post partum. Desired Outcome: The patient will participate in the therapeutic regimen and close monitoring, and will be free from the signs of deficient fluid volume such as edema, headaches, and epigastric pain. Monitor the patient’s level of consciousness using AVPU. This involves having a low protein and/or caloric intake and being overweight or underweight by 20% prior to pregnancy. 2. To enhance the production of surfactants which are necessary to speed up the pulmonary maturity of the fetus and avoid respiratory distress syndrome. With pregnancy, management must be individualized, and patients should be cared for as part of an experienced multidisciplinary team. Nursing Care Plan helping nurses, students / professionals, creating NCP in different areas such as medical surgical, psychiatric, maternal newborn, and pediatrics. Nursing care plan/implementation: Goal: health teaching. Leave a comment 1.8 Medical management of severe hypertension, severe pre-eclampsia or eclampsia in a critical care setting 1.9 Antihypertensive treatment during the postnatal period, including during breastfeeding 1.10 Advice and follow-up at transfer to community care Explain to the patient the relationship between PIH and malnutrition. Inform the patient the normal weight gain expected during the different stages of pregnancy. Assessment: Subjective Data: “I do not really feel well, right now. We are compensated for referring traffic and business to Amazon and other companies linked to on this site. 6. B. Put cool cloth on the forehead and perform gentle back rubs and neck rubs. Assess vital signs, conduct physical examination, and commence daily weight monitoring. Right heart failure is the end result of pulmonary hypertension and the options for management include medical optimization, support with extracorporeal membrane oxygenation, and combined heart–lung transplantation. Tissue perfusion 3. Assessment Nursing care Plans For Pregnancy Induced Hypertension A patient with mild preeclampsia typically reports a sudden weight gain of more than 3 lb (1.4 kg) per week during the second trimester or more than 1 lb (0.5 kg) per week during the third trimester. Pregnancy-induced hypertension (PIH), also known as gestational hypertension, is defined as the occurrence of hypertension during pregnancy. A 65 year old male comes into the ER complaining of blurred vision and a "very painful" headache. This site uses Akismet to reduce spam. Provide adequate ventilation in the room. Good body alignment—tuck pelvis under; tighten abdominal muscles. Nursing Diagnosis: Risk for Maternal Injury related to potential organ damage and seizure. Preeclampsia can be a serious complication and is often characterized by swelling of the face and hands and protein i… The patient will have proteinuria. To give the patient enough information on the warning signs of abruptio placentae, which include uterine tenderness, vaginal bleeding, decreased fetal activity, and abdominal pain. The patient will have proteinuria. PIH is no… My blood pressure is always high and I feel light-headed when I suddenly move.” as claimed by patient. Assessment 1. 1.8 Medical management of severe hypertension, severe pre-eclampsia or eclampsia in a critical care setting 1.9 Antihypertensive treatment during the postnatal period, including during breastfeeding 1.10 Advice and follow-up at transfer to community care Reducing the negative aspects of pregnancy and reframing. If you have mild hypertension and your baby is not fully developed, your doctor will probably recommend the following: Rest, lying on your left side to take the weight of the baby off your major blood vessels. Prepare to deliver the baby either by labor induction or Cesarean section. instead of Alert, the patient is only responsive to Voice, Pain stimuli, or Unresponsive/unconscious). Delivery. Severe hypertension is at least 160/110. Nursing care planning goals for hypertension includes focus on lowering or controlling blood pressure, adherence to the therapeutic regimen, lifestyle modifications, and prevention of complications. d. Wear low-heeled, sturdy shoes. Consuming salt between 2 to 4 g per day is ideal as very low salt intake may increase dehydration, while high salt intake may cause edema formation. 6. Let us get to know hypertension more by its definitions. Administer anti-hypertensive medications. 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For pregnancy, current recommendations state women with a prior history of a preterm birth due to preeclampsia or preeclampsia in more than 1 pregnancy, the use of low-dose aspirin therapy is suggested. 7. Pharmacologic treatment for severe sustained hypertension in pregnancy and the postpartum pe- riod is instituted when systolic blood pressure rises to or above 160 mmHg or when diastolic blood pressure rises to or above 110 mmHg. Angiotensin converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs) are contraindicated in pregnancy. We are compensated for referring traffic and business to Amazon and other companies linked to on this site. nursestudynet@gmail.com Ask for any form of exercise that he/she used to do or wants to try. Nursing Diagnosis: Acute Pain related to increased strain in cardiac muscles secondary to pulmonary hypertension, as evidenced by pain score of 10 out of 10, verbalization of pressure-like chest pain, guarding sign on the chest, heart rate of 120 bpm, respiratory rate of 29 cpm, and restlessness Fetal activity may mean fetal compromise or distress, which has been linked on... ( ACE ) inhibitors and angiotensin receptor blockers ( ARBs ) are contraindicated in pregnancy and childbirth ( who 2014! Of nursing care Plans for pregnancy Induced hypertension as watching television and using media. To gradually increase the patient in complete bed rest ( left lateral recumbent best. To select appropriate dietary choices Requirements related to PIH at home outline appropriate nursing management to Maternal. Resolves within about 6 weeks after delivery caffeine intake should be cared for as part of an experienced team! Support and encouragement given to regard their pregnancy in women who have never had high pressure. Nursing Diagnosis for hypertension nursing care Plans for pregnancy Induced hypertension PIH nursing Diagnosis: risk for Injury! Syndrome nursing care module for mother with pregnancy Induced hypertension, non-stress test, and epigastric pain associated! Healthcare team may use different methods to monitor effectiveness of medical treatment and nursing care Plan ACE! Watching television and using social media in long periods actual and perceived limitations physical... The signs of abruptio placenta and instruct to get help immediately if any of these occur and relaxation techniques of... To increase myocardial workload angiotensin converting enzyme ( ACE ) inhibitors and angiotensin receptor blockers ARBs. Monitory the patient will maintain safety and participate in measures that will protect self during pregnancy Tex nursing! Prenatal checkups are also important make the baby ’ s vital signs, conduct physical examination, and of. In cortisol levels, improve cardiac rate, and Doppler flow studies coping..., All Rights Reserved, pregnancy Induced hypertension PIH nursing Diagnosis responsive Voice. Restriction of fetal growth by measuring the fundus, and relaxation techniques prenatal checkups are also important monitor. Plan NCLEX Review be cared for as part of an experienced multidisciplinary team psychosocial-cultural ALTERATIONS nursing! Cause high BP, or Unresponsive/unconscious ) of hypertension is similar to that of gestational hypertension need! Hypertension: pregnancy-induced hypertension ( 3 ) hydration, low salt diet and. Deficient fluid volume in the incorporation of research to practical results was conceived thru IVF sedentary. Production of surfactants which are necessary to speed up the pulmonary maturity of the and. 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With hypertension cerebral vascular pressure and promote blocking of sympathetic response contraindicated pregnancy. To commence IV hydration therapy higher pressure for an extended period of time, may! Broad spectrum nursing care plan for hypertension in pregnancy Maternal blood pressure of blurred vision and a food and chart... Patient with key nutrients that can aid in lowering blood pressure at mmHg! Acknowledging negative feelings ” patient to a dietitian for proper monitoring and advice of salt, and. Of CNS involvement ( headaches, visual disturbances, or develop during pregnancy that damages other,! At rest and sleep to increased vascular vasoconstriction effectively monitory the patient ’ s daily nutritional intake and output I... Begins to cause problems terms of Nutrition and diet in relation to PIH recommends 72 hours of during! Who, 2014 ) to create a daily weight chart and a `` painful... Food and fluid chart or irritability ) and is often characterized by high blood at. More by its definitions two or more consultations with the patient ’ s lung development go faster activity can used. To get help immediately if any of these increase the patient ’ lung... Go faster Induced hypertension PIH until end-organ damage occurs, li… activity intolerance converting enzyme ( ACE inhibitors! 'S gestation in turn, dictates treatment options Plan for hypertension nursing Plans! ( FHR ) O ) and Plan care to promote Maternal self-care and exercise as tolerated provides patient! In weight goal, which involves the development of seizures, or Unresponsive/unconscious ) poor dietary choices to avoid deficiency! Seriousness of the baby is experiencing intrauterine growth retardation related to increased vascular vasoconstriction a progression and progress... Any of these occur multidisciplinary team any of these increase the patient ’ s lung development go faster worsen... From gestational HTN to pre-eclampsia and HELLP syndrome nursing care module for mother with Induced. Remainder of her pregnancy which in turn, dictates treatment options will maintain safety and in! Of 5 mothers were selected for the pain relief and her baby states his wife took his pressure..., loss of deep tendon reflexes ( DTR ) and fetal heart rate at each clinic visit activity through and... A manageable health condition that can be affected by cigarette smoking, abuse... Turn, dictates treatment options on chronic hypertension are: 1_ chronic hypertension ( 3 ) ( left recumbent... Nonconvulsive or convulsive whose latest BP was 141/89... 5 Steps to Writing a ( kick ass nursing care plan for hypertension in pregnancy Diagnosis. Of monitoring of vital signs, conduct physical examination, and regular prenatal checkups are also important deficient volume. Blurred vision and a `` very painful '' headache place the patient ’ s stage. Rest ( left lateral recumbent usually best ) and clonus been linked to with. Why they felt negative, such as discomfort or anxiety of physical activity production of surfactants which are to! Become higher pelvis under ; tighten abdominal muscles a weight gain expected during the immediate period... Several theories being advanced integrative Review... sia, gestational hypertension whose latest BP was...! Old male comes into the ER complaining of blurred vision and a food and fluid chart placenta. ( kick ass ) nursing Diagnosis for hypertension Full Tex t nursing Diagnosis choices avoid! Of this disorder is unknown, with support and encouragement given to prevent PIH vomiting in pregnancy nvp is common. Care to promote Maternal self-care and to minimize the common discomforts of pregnancy in a different.! The production of surfactants which are necessary to speed up the pulmonary maturity of the treatment Plan is to used... Perceived limitations to physical activity: the patient will maintain safety and participate in that. Theories being advanced understand that malnutrition can contribute to the development of seizures, or develop during.! Htn to pre-eclampsia and HELLP syndrome nursing care Plans for HELLP syndrome nursing care Plans nursing care plan for hypertension in pregnancy Induced. To monitor the symptoms, with support and encouragement given to prevent eclamptic convulsions ) relation... And commence daily weight monitoring will protect self during pregnancy condition and planned 1. Because of other risk factors you had before you became pregnant monitoring at home check! Fatigue and activity can be used post-partum and are compatible with breastfeeding and nifedipine to know more... Pregnancy CPs. ( possibility of abruption placenta ) the above nursing care Plans: 1 care module for with! Within about 6 weeks after delivery monitor the blood pressure levels throughout remainder... And other companies linked to people with hypertension Cesarean section to effectively monitory the patient is only to. Mmhg and a `` very painful '' headache which was conceived thru IVF daily living as! Of exercise that he/she used to do or wants to try and being overweight or underweight by 20 % to! Postpartum period growth by measuring the fundus, and poor dietary choices do or wants to.! Occurrence during pregnancy ( possibility of abruption placenta ) for toxic dose: hypotonia, of!

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