Preeclampsia: Hypertension and Pregnancy Induced

STUDY GUIDE: Preeclampsia
1. Define the following: Preeclampsia:

Eclampsia:
1. In the chart below, contrast the physiologic changes of a normal pregnancy with those of a patient with pregnancy induced hypertension.
Physiologic Change
Normal Pregnancy
Pregnancy Induced Hypertension
Peripheral Vascular Resistance

Role of Thromboxane

Role of Prostacyclin

Maternal Vasodialtion

Plasma Volume

Nitric oxide

Renal perfusion

Glomerular filtration rate

Resistance to angiotensin II

Edema

Coagulability

2. Identify maternal risks from PIH, including the HELLP syndrome

3. Compare the signs and symptoms of mild and severe PIH Mild PIH Severe PIH

4. Outline the prenatal medical management of the patient with mild PIH and severe PIH: Mild PIH Severe PIH

5. Define eclampsia:

6. Describe the home care of the PIH patient:

7. Describe the hospital care of the PIH patient:

8. How does the hospital care differ if the patient is a preterm gestation?

9. Describe the use of Magnesium Sulfate in the care of the patient with severe PIH:
A. Action

B. Route and Administration

C. Side Effects

D. Nursing Actions

10. Describe nursing assessment measures important in the care of the patient with PIH:
A. Blood pressure

B. Pulse and respiration

C. FHR

D. Urinary output

E. Urinary protein

F. Edema

G. Daily weights

H. Pulmonary edema

I. Deep tendon reflexes

J. Headache

K. Visual disturbances

L. Epigastric pain

M. Level of consciousness

PIH CASE STUDY

T. M. Is a 27 year old Gravida 1, Para 0, who is admitted to the labor and delivery unit at 38 weeks gestation. At the time of admission, vital signs are: Temperature 98, Pulse 80, Respirations 16,