NURSING CARE PLAN: Gestational Hypertension or Pregnancy Induced Hypertension

(Preeclampsia)

Assessment Diagnosis Planning Intervention Rationale Evaluation

Subjective: Deficient After 12 - monitor vital - to monitor After 12
Pregnant fluid hours of signs every 45 any hours of
woman with volume nursing minutes or when unwanted nursing
chief related to intervention, as needed. changes on intervention,
complaint of plasma the client: the patient’s the goal was
headache and protein loss status that met for the
dizziness. secondary to - will acquire may need client was
pregnancy normal blood immediate able to:
induced pressure of attention.
Objective: hypertensio 120\80mmH - acquire
Vital signs: n by an g and will - place patient - lateral normal blood
BP: average remain on strict recumbent pressure of
150/100mmH blood normal regimen of position 120\80mmH
g pressure of within bedrest; decreases g and will
PR: 10 bpm 150\100 acceptable encourage latera pressure on remain
RR: 23 cpm mmHg as limits. l position. the vena normal
T: 37.3 C evidenced cava, within
by pedal - will be free increasing acceptable
Fatigability nonpitting of edema on venous return limits.
Edema edema, upper and and
grade 1 lower circulatory - be free of
edema on extremities. volume. edema on
upper upper and
extremities, - will show - to monitor lower
and no presence - start input and circulatory extremities.
headache. of protein on output blood
urine. monitoring. volume, to - show no
Perform urine ensure that presence of
dipstick analysis the mother protein on
using a has adequate urine.
midstream oral
urine. hydration or
if there is
need for IV
hydration
therapy. To
check if there
is presence of
protein on
urine.

- important to

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 monitor
- schedule changes more
prenatal visit closely for
every 1–2 weeks the well-
if PIH is mild; being of the
weekly if patient and
severe. fetus.

- nutritional
consult may
- collaborate be beneficial
with dietitian as in
indicated. determining
individual
needs/dietary
plan.

- some
mildly
- educate patient hypertensive
and family patients
members or without
significant proteinuria
others on home may be
monitoring/day- managed on
care program, as an outpatient
appropriate. basis if
adequate
surveillance
and support
is provided
and the
patient/famil
y actively
participates
in the
treatment
regimen.

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