The RN changed the subject when the patient talk about her dizziness problem. This may cause the patient to stop expressing the patient’s feeling by fear or lack of confident. The RN should explore more about the patient recent diagnosis of hypertension instead of change to another topic. The RN gave an unwanted opinion story when the patient talk about her grandfather. The patient didn’t ask her‚ but the RN decided to give her personal story‚ which was inappropriate. She did not seem empathetic
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with it increase. The risks involved can include potential birth defects‚ fetal death (miscarriage or stillbirths)‚ gestational diabetes (diabetes that develops during pregnncy)‚ cesarean delivery and complications during the labor and delivery process‚ macrosomia (delivering a very large baby)‚ high blood pressure in pregnancy‚ and preeclampsia which is a serious form of hypertension that may place both the mothers health and the baby ’s life at risk (Linne‚ 2004). The increased risk of said disorders
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Introduction: High blood pressure or hypertension meaning high pressure (tension) in the arteries. Arteries are vessels that carry blood from the pumping heart to all the tissues and organs of the body. Normal Blood Pressure is below 120/80; blood pressure between 120/80 and 139/89 is consider pre-hypertension‚ and a blood pressure of 140/90 or above is considered high. The systolic blood pressure is the pressure in the arteries as the heart contracts and pumps blood forward into the arteries
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their own notes. The learner handout is followed by the teaching script for the educator. Relevant cases for discussion and a bibliography of articles related to preeclampsia and chronic hypertension in pregnancy can be found at the end of this section. PREECLAMPSIA PREECLAMPSIA / PREGNANCY INDUCED HYPERTENSION Incidence • Preeclampsia complicates at lease 10% of first pregnancies Etiology • The etiology of preeclampsia is unknown but may be related to abnormal placentation. Obstetric
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My grandfather has been suffering from hypertension for over 10 years. In 2011‚ my grandfather was admitted to the hospital because of stroke. He alive after the emergency treatment and surgery‚ as the domestic helper of my grandfather called the ambulance via calling the hotline of the police as soon as possible after my grandfather cannot move his limbs of left and feels the pain of his heart. After the accident happened‚ my family members and I went to a hospital to visit my grandfather. One of
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Gestational Diabetes: This type of diabetes affects women during pregnancy. During pregnancy‚ the placenta produces increased levels of other hormones. This affects how the body makes insulin during pregnancy; these hormones also increase blood glucose levels which causes gestational diabetes. Many patients of this type of diabetes can control and prevent it with proper exercise and diet. However‚ some of them would need to take medication that controls blood glucose. Type 1 Diabetes: This type
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BLEEDING DISORDERS OF LATE PREGNANCY PLACENTA PREVIA * placenta develops in the lower part of uterus versus the upper part * There are 3 degrees of previa: * Marginal – reaches within 3cm of cervical opening * Partial – placenta partially covers the cervical opening * Complete/ Total – completely covers opening * Observe bleeding during contraction Manifestations: * bright red‚ painless vaginal bleeding * risk of hemorrhage increases with nearing of labor *
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tissues‚ or both. 5. Risk factors for type 2 DM? Place a star or asterisk next to those that Y.L. exhibits. * Weight * * Fat distribution * * Inactivity * Family history * Race * * Age * Prediabetes * Gestational diabetes * 6. What is the rationale for starting Y.L. on metformin and glipizide? Oral agents are used for type 2 DM to improve the mechanisms by which insulin and glucose are produced and used
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(H-mole or Gestational trophoblastic disease) is abnormal proliferation and then degeneration of the trophoblastic villi (Garg & Giuntoli‚ 2007). As the cells degenerate‚ they become filled with fluid and appear as clear fluid-filled‚ grape-sized vesicles. The embryo fails to develop beyond a primitive start. Abnormal trophoblast cells must be identified because they are associated with choriocarcinoma‚ a rapidly metastasizing malignancy. (Pillitteri‚ 2010) Figure 1. Gestational trophoblastic
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parts and fetal heart tones were not appreciated * Speculum exam- minimal to moderate bleeding * I.E.- Cervix was soft‚ closed‚ non-tender‚ uterus was enlarged to 20 weeks AOG Approach to Diagnosis Gestational Trophoblastic Disease The term gestational trophoblastic disease refers to pregnancy-related trophoblastic proliferative abnormalities. Molar pregnancy is characterized histologically by abnormalities of the chorionic villi that consist of trophoblastic proliferation
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