NR,./327,./Edapt,./week,./3,./Hypertension,./and,./Pregnanc
y
1. Women,./who,./have,./chronic,./hypertension,./prior,./to,./pregnancy,./will,./experien
ce,./a,./worsening,./of,./the,./condition,./and,./an,./increased,./likelihood,./of,./developing
,./preeclampsia,./in,./pregnancy.,./Gestational,./hypertension,./(GH),./is,./brought,./on,./
by,./pregnancy,./and,./develops,./after:,./20,./weeks,./gestation,./without,./the,./presence,./of,./protein,./in,./the
,./urine.
2. Deep,./tendon,./reflexes,./become,./increasingly,./hyperactive,./as,./preeclampsia,./pro-
gresses,./and,./are,./an,./indicator,./of,./impending,./risk,./for:,./seizures.
3. A,./nurse,./is,./caring,./for,./a,./client,./who,./is,./receiving,./intravenous,./magnesium,./sulf
ate,./to,./treat,./severe,./preeclampsia.,./Which,./medication,./should,./the,./nurse,./admi
nister,./if,./signs,./of,./toxicity,./are,./present?:,./Calcium,./gluconate
4. Gestational,./hypertension,./develops,./during,./pregnancy,./after,./20,./weeks,./of,./ges
-
tation,./in,./a,./client,./who,./was,./previously,./normotensive.,./The,./mother,./will,./prese
nt,./with,./systolic,./blood,./pressure,./:e140,./mm,./Hg,./or,./a,./diastolic,./blood,./pressure,./e9 0 ,./mm,./Hg.,./Some,./
clients
have,./chronic,./hypertension,./and,./the,./hormones,./and,./physical,./demands,./brought,./on,./by,./pregnancy,./will,./likely,./
worsen,./the,./condition,,./possibly,./leading,./to,./preeclampsia,,./or,./even,./eclampsia.,./Gestational,./hypertension,./was,.
/previously,./called,./pregnancy-induced,./hypertension,./(PIH).
5. Different, . / from, . / chronic, . / hypertension,, . / gestational, . / hypertension, . / has,
. / these, . / characteristics: , . / -
It,./is,./a,./hypertensive,./condition,./unique,./to,./pregnancy,,./whether,./the,./woman,./has,./a,./history,./of
hypertension,./or,./not.
-It,./is,./brought,./on,./by,./pregnancy.
-It,./develops,./after,./20,./weeks,./gestation,./without,./the,./presence,./of,./protein,./in,./the,./urine.
-It,./will,./resolve,./within,./6-12,./weeks,./postpartum.
6. When, . / gestational, . / hypertension, . / progresses, . / into, . / preeclampsia,, . / which, . / ca
n, . / be, . / mild,./or,./severe,,./high,./blood,./pressure,./temporarily,./impairs,./the:,./kidneys',./a
bility,./to,./filter,./albumin,./(a,./protein,./found,./in,./the,./blood),,./causing,./protein,./to,./appear,./in,./the,./urine,./(proteinuri
a).,./Kidney,./impairment,./also,./leads,./to,./generalized,./edema.
7. Other,./body,./systems,./are,./affected,./by,./gestational,./hypertension,,./including::,./
-
-
Intravascular,./volume,./is,./reduced,./as,./fluid,./moves,./out,./of,./the,./vessels,./(hemocontration),,./resulting,./in,./increase
,./
,./
, NR,./327,./Edapt,./week,./3,./Hypertension,./and,./Pregnanc
y
d,./blood,./viscosity ,./and,./tissue,./edema.
-
Decreased,./liver,./perfusion,./leads,./to,./impaired,./liver,./function,./and,./elevated,./liver,./enzymes.,.
/(Hepatic,./edema,./causes,./epigastric,./or,./right,./upper,./quadrant,./abdominal,./pain).
-
Cerebral,./edema,./leads,./to,./increased,./central,./nervous,./system,./irritability,,./causing,./headaches,,./hyperreflexia,,./ankle,./clo
nus,, . / and,./seizures.
,./
,./
y
1. Women,./who,./have,./chronic,./hypertension,./prior,./to,./pregnancy,./will,./experien
ce,./a,./worsening,./of,./the,./condition,./and,./an,./increased,./likelihood,./of,./developing
,./preeclampsia,./in,./pregnancy.,./Gestational,./hypertension,./(GH),./is,./brought,./on,./
by,./pregnancy,./and,./develops,./after:,./20,./weeks,./gestation,./without,./the,./presence,./of,./protein,./in,./the
,./urine.
2. Deep,./tendon,./reflexes,./become,./increasingly,./hyperactive,./as,./preeclampsia,./pro-
gresses,./and,./are,./an,./indicator,./of,./impending,./risk,./for:,./seizures.
3. A,./nurse,./is,./caring,./for,./a,./client,./who,./is,./receiving,./intravenous,./magnesium,./sulf
ate,./to,./treat,./severe,./preeclampsia.,./Which,./medication,./should,./the,./nurse,./admi
nister,./if,./signs,./of,./toxicity,./are,./present?:,./Calcium,./gluconate
4. Gestational,./hypertension,./develops,./during,./pregnancy,./after,./20,./weeks,./of,./ges
-
tation,./in,./a,./client,./who,./was,./previously,./normotensive.,./The,./mother,./will,./prese
nt,./with,./systolic,./blood,./pressure,./:e140,./mm,./Hg,./or,./a,./diastolic,./blood,./pressure,./e9 0 ,./mm,./Hg.,./Some,./
clients
have,./chronic,./hypertension,./and,./the,./hormones,./and,./physical,./demands,./brought,./on,./by,./pregnancy,./will,./likely,./
worsen,./the,./condition,,./possibly,./leading,./to,./preeclampsia,,./or,./even,./eclampsia.,./Gestational,./hypertension,./was,.
/previously,./called,./pregnancy-induced,./hypertension,./(PIH).
5. Different, . / from, . / chronic, . / hypertension,, . / gestational, . / hypertension, . / has,
. / these, . / characteristics: , . / -
It,./is,./a,./hypertensive,./condition,./unique,./to,./pregnancy,,./whether,./the,./woman,./has,./a,./history,./of
hypertension,./or,./not.
-It,./is,./brought,./on,./by,./pregnancy.
-It,./develops,./after,./20,./weeks,./gestation,./without,./the,./presence,./of,./protein,./in,./the,./urine.
-It,./will,./resolve,./within,./6-12,./weeks,./postpartum.
6. When, . / gestational, . / hypertension, . / progresses, . / into, . / preeclampsia,, . / which, . / ca
n, . / be, . / mild,./or,./severe,,./high,./blood,./pressure,./temporarily,./impairs,./the:,./kidneys',./a
bility,./to,./filter,./albumin,./(a,./protein,./found,./in,./the,./blood),,./causing,./protein,./to,./appear,./in,./the,./urine,./(proteinuri
a).,./Kidney,./impairment,./also,./leads,./to,./generalized,./edema.
7. Other,./body,./systems,./are,./affected,./by,./gestational,./hypertension,,./including::,./
-
-
Intravascular,./volume,./is,./reduced,./as,./fluid,./moves,./out,./of,./the,./vessels,./(hemocontration),,./resulting,./in,./increase
,./
,./
, NR,./327,./Edapt,./week,./3,./Hypertension,./and,./Pregnanc
y
d,./blood,./viscosity ,./and,./tissue,./edema.
-
Decreased,./liver,./perfusion,./leads,./to,./impaired,./liver,./function,./and,./elevated,./liver,./enzymes.,.
/(Hepatic,./edema,./causes,./epigastric,./or,./right,./upper,./quadrant,./abdominal,./pain).
-
Cerebral,./edema,./leads,./to,./increased,./central,./nervous,./system,./irritability,,./causing,./headaches,,./hyperreflexia,,./ankle,./clo
nus,, . / and,./seizures.
,./
,./