00:01 You made it to the end. So let's review. 00:04 In a nutshell, hypertensive disorders complicate up to 10% of pregnancies, and they are the leading cause of mortality in pregnancy. 00:13 Gestational hypertension is noted by a increase in blood pressure above 140/90, after 20 weeks without any other consequences or sequelae going on. 00:25 Preeclampsia is blood pressure above 140/90, noted after 20 weeks. 00:31 And it's accompanied by other symptoms. 00:33 So remember: Gestational hypertension, no other symptoms. 00:36 Preeclampsia, we have other symptoms. 00:39 Severe preeclampsia is characterized by a blood pressure greater than 160/110 and or other organ system damage. 00:48 Eclampsia is noted by seizure activity in a client who's never had seizure activity before. 00:55 Magnesium sulfate is given to increase seizure threshold, not decrease the blood pressure. 01:01 The client that is receiving magnesium sulfate must be monitored to note signs of worsening preeclampsia and signs of magnesium toxicity. 01:11 Magnesium will also affect the fetus, and we may notice this because in a decrease in variability on the fetal heart rate tracing. 01:20 And the nurse should observe the client for signs of HELLP syndrome: Hemolysis, elevated liver enzymes, and low platelets. 01:27 You did it.
The lecture Hypertensive Disorders of Pregnancy: In a Nutshell (Nursing) by Jacquelyn McMillian-Bohler is from the course Hypertensive Disorders of Pregnancy: Preeclampsia (Nursing).
Which statements about hypertensive disorders in pregnancy and treatments are true? Select all that apply.
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