A past Medical history of hypertension

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 150/100 mmHg at first check and 15 minutes later was still 136/90 mmHg. She is also complaining of light-headedness and palpitations.

A.        What actions should the nurse take?

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

C.        What are the expected outcomes?

2. The patient is 23 years old with a 15-year history of type 1 diabetes mellitus. She has come into the clinic because she had a positive home pregnancy test result. She is currently using an insulin pump and her glucose levels have been under adequate control. She is excited but also nervous about being pregnant. She shares that one of her great-aunts died when she was pregnant because of her diabetes.

A.        What nursing care plan will be appropriate for this patient?

B.        What nursing diagnoses will be appropriate in this case?

C.        What information can the nurse share with this patient to reassure her about a successful                   pregnancy and birth?