Name: Sheena R.

Roy Year & Section: BSN 2-B Date: 04/25/22

Concept Map

Risk Factors Signs & Symptoms Potential Complications

 Obesity (BMI >30)  Blurred vision  Seizure
 Age (<18 or advanced >35)  Severe headaches  Heart failure
 Family History  Hypertension  HELLP syndrome
 First pregnancy  Edema (eyes, face,  Preterm birth
 High blood pressure before extremities, pulmonary  Fetal growth restrictions
getting pregnant edema, increase in weight
gain, cerebral edema).
 Proteinuria

Disease Process:
Pathophysiology (Definition/etiology chronicity & progress)

Preeclampsia – is a common disorder that particularly affects first pregnancies. A type of hypertensive disorder that occurs
during pregnancy (after 20 weeks of gestation) it is also important to note that this condition can present during postpartum
period. Severe preeclampsia can cause seizures which can lead to death and when that happens, it is called “eclampsia”
which means “a convulsive state.” It’s poorly developed uterine placental spiral arterioles (which decrease uteroplacental
blood flow during late pregnancy), a genetic abnormality on chromosome 13, immunologic abnormalities, and placental
ischemia or infarction. The clinical presentation is highly variable but hypertension and proteinuria are usually seen.
Preeclampsia is primarily a disease of the placenta as it may be encountered in molar pregnancies. One of the most accepted
theories in preeclampsia revolves around abnormal placentation.

Medical intervention, lab, and diagnostic Nursing Diagnosis Nursing Interventions

studies
 Risk for imbalanced  Teach the patient the proper
 Antihypertensive drugs to lower fluid volume way of taking body weight at
blood pressure  Risk for Maternal home.
 Anticonvulsant medication, such as injury  Monitor and document the
magnesium sulfate, to prevent  Risk for altered patient’s vital signs.
seizures. nutrition: less than  Document the patient’s intake
 Partial thromboplastin time (PTT) body requirements and output then report any
 Urine analysis imbalance immediately.
 Measurement of angiogenic factors  Emphasize to the patient the
 Proteinuria sample importance of reporting
common symptoms that
accompany a convulsion.
 Assess the patient for any signs
of labor in every antenatal
checkup.
 Instruct patient to have bed rest
and avoid environmental
stressors
 Encourage patient to follow
healthy lifestyle
 Advise the client to have
frequent rest periods and limit
activity to conserve protein
requirements.
 Ensure a balanced diet to the
patient with adequate fluid
intake.