Hypertensive Disorders of Pregnancy: In a Nutshell (Nursing)

by Jacquelyn McMillian-Bohler

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    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 lower seizure threshold, not 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.

    About the Lecture

    The lecture Hypertensive Disorders of Pregnancy: In a Nutshell (Nursing) by Jacquelyn McMillian-Bohler is from the course Hypertensive Disorders of Pregnancy: Preeclampsia (Nursing).

    Included Quiz Questions

    1. Preeclampsia is a blood pressure of 140/90 mm Hg and symptoms after 20 weeks.
    2. Magnesium sulfate is administered to prevent seizures.
    3. Magnesium sulfate decreases variability on the fetal heart monitor.
    4. Gestational hypertension is preexisting blood pressure prior to pregnancy.
    5. HELLP syndrome is characterized by elevated liver enzymes and platelets.

    Author of lecture Hypertensive Disorders of Pregnancy: In a Nutshell (Nursing)

     Jacquelyn McMillian-Bohler

    Jacquelyn McMillian-Bohler

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