Question

1. What is the difference between Preeclampsia, HELLP Syndrome and gestational hypertension?
2. What nursing actions are priorities for teaching a newly diagnosed Gestational Diabetes patient?
3. What are the Maternal and fetal risk with Gestational diabetes?

Answer 1

Gestational Hypertension

gestational hypertension referred to as pregnancy induced hypertension characterized by sustained rise of blood pressure 140/90 mmhg or more on to separate occasions, more than 4 or more hours apart without the presence of protein in urine after 20th week of gestation

• Gestational hypertension can lead to pre-eclampsia

Preeclampsia

Preeclampsia is a multi system disorder of unknown etiology characterized by development of hypertension to the extent of 140/90 mmhg or more with presence of protein in urine after 20th week of pregnancy

HELLP Syndrome

HELLP Syndrome is a variant of severe preeclampsia characterized by low platelet count (<100000), elevated liver enzymes (2*normal) and hemolysis usually develops before 37th week of pregnancy but can occurs shortly after delivery