PIH may have been diagnosed during the prenatal period, necessitating induction of labor/cesarean birth, or onset of symptoms may occur during labor (or early postpartum). Early recognition and prompt intervention promote optimal outcomes for client and fetus.
This plan of care is to be used in conjunction with the first five care plans in this chapter, which concern the three stages of labor, or with CPs: Induced/Augmented Labor Cesarean Birth, as indicated.
CLIENT ASSESSMENT DATA BASE
(Refer to CP: Pregnancy-Induced Hypertension and to the intrapartal assessment tool at the beginning of this chapter.)
Circulation
May have been monitored/treated for prenatal hypertension either at home or in hospital setting, or may have been normotensive throughout the pregnancy.
Blood pressure may be elevated at the onset of labor.
Progressive fluid retention may be present.
Safety
May be receiving an oxytocin infusion for induction or to offset tocolytic effects of MgSO4.
Sexuality
May be scheduled for induction (if cervix is favorable) or cesarean birth (preferably after 36 weeks’ gestation) because of deteriorating maternal and placental status.
Pregnancy may or may not be full term (with uterus at xiphoid process).
DIAGNOSTIC STUDIES
Kidney, liver, and coagulation studies may show altered function.
(Refer to CP: Pregnancy-Induced Hypertension.
NURSING PRIORITIES
1. Reduce/alleviate maternal hypertension.
2. Monitor client and fetal status.
3. Maintain/optimize placental circulation.
4. Prevent eclamptic state.
This plan of care is to be used in conjunction with the first five care plans in this chapter, which concern the three stages of labor, or with CPs: Induced/Augmented Labor Cesarean Birth, as indicated.
CLIENT ASSESSMENT DATA BASE
(Refer to CP: Pregnancy-Induced Hypertension and to the intrapartal assessment tool at the beginning of this chapter.)
Circulation
May have been monitored/treated for prenatal hypertension either at home or in hospital setting, or may have been normotensive throughout the pregnancy.
Blood pressure may be elevated at the onset of labor.
Progressive fluid retention may be present.
Safety
May be receiving an oxytocin infusion for induction or to offset tocolytic effects of MgSO4.
Sexuality
May be scheduled for induction (if cervix is favorable) or cesarean birth (preferably after 36 weeks’ gestation) because of deteriorating maternal and placental status.
Pregnancy may or may not be full term (with uterus at xiphoid process).
DIAGNOSTIC STUDIES
Kidney, liver, and coagulation studies may show altered function.
(Refer to CP: Pregnancy-Induced Hypertension.
NURSING PRIORITIES
1. Reduce/alleviate maternal hypertension.
2. Monitor client and fetal status.
3. Maintain/optimize placental circulation.
4. Prevent eclamptic state.
Chinese
French
German
Italian
Japanese
Korean
Russian
Spanish
