Question

A 35 year old G1P0 is 20 weeks gestation with a past medical history of hypertension. Her pregnancy has been uneventful; however, at today's appointment, her blood pressure was 150/100mmHg at first check and 15 minutes later was still 136/90 mmHg. She is also complaining of light-headedness and palpitations.

A. What actions would you take as her nurse?

B. What change should this patient be encouraged to do?

C. What are the expected outcomes?

Answer 1

A)

Actions

• Should sit or lie down gently
• Take steady breaths
• Lying on the left side help to increase blood flow to the heart, that may help to stabilize body.
• Take rest
• Give food if not taken
• Avoid getting up quickly and move to somewhere
• Don't try to stand for long time
• Loosen the cloths if they are too tight
• Take a lot of water

B) What change should this patient be encouraged to do

If client if having hypotension

• Try to get up from bed very slowly
• Try to sit down after wakeup and then try to stand
• Don't try to stand continusly for a long time
• Try to eat small and frequent meals through out the day
• Don't bath in hot water
• Wear loose clothings
• Take nutritious food and a lot of water

C)

Expected outcome

• client will maintain normal blood pressure value
• Clinet will not feel diziness
• Client will be able to do her own activities of daily living
• Energy level of body may increase
• client will maintain a normal body functioning