Enter your email address below and hit "Submit" to receive free email updates and nursing tips. Over time, the numbness may extend proximally, and mild distal muscle weakness and atrophy may occur. 2 1 the nurse should check the clients patellar. Patients with treatment-resistant severe hypertension or other signs of maternal or fetal deterioration should be delivered within 24 hours, irrespective of gestational age or fetal lung maturity. If you experience any of these changes in vision, you should contact your healthcare provider immediately or go directly to the hospital. Patients with severe preeclampsia are admitted to the hospital, placed on bed rest, and carefully monitored (Figure 27 and Table 51,7,12 ). Here is everything you need to know about taking your blood pressure at home. sharing sensitive information, make sure youre on a federal The goals of treatment are to prevent seizures, lower blood pressure to avoid maternal end-organ damage, and expedite delivery. Nerve biopsy should be considered when the diagnosis remains uncertain after laboratory and electrodiagnostic testing, or when confirmation of the diagnosis is needed before initiating aggressive treatment (e.g., in cases of vasculitis when steroids or chemotherapy is used). Treatment should address the underlying disease process, correct any nutritional deficiencies, and provide symptomatic treatment. The spiral arteries of the uterus play an important role in providing blood flow to the growing placenta and baby. As the nurse it is important youre aware of how this condition is diagnosed. They are also commonly seen in normal but tense people. See permissionsforcopyrightquestions and/or permission requests. Deep tendon reflexes are usually brisk, and muscle tone is spastic. Vision changes are one of the most serious symptoms of preeclampsia. Normal pregnancy: vascular volume and cardiac output increase significantly . Peripheral Neuropathy: Differential Diagnosis and Management A total of 8 g of magnesium sulfate should not be exceeded over a short period of time.43,53. Nausea or vomiting can be confused with the flu or gallbladder problems, so insist on getting your blood pressure checked and checking your urine for proteinuria. Fifty percent of women diagnosed with gestational hypertension between 24 and 35 weeks develop preeclampsia.8 Expectant management of mild gestational hypertension can reduce the increased rate of cesarean delivery associated with the induction of nulliparous women who have an unripe cervix.9 Women who progress to severe gestational hypertension based on the degree of blood pressure elevation have worse perinatal outcomes than do women with mild preeclampsia, and require management similar to those with severe preeclampsia.10, Preeclampsia is a multiorgan disease process of unknown etiology11 characterized by the development of hypertension and proteinuria after 20 weeks of gestation.

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