HEALTH TEACHING PLAN
TOPIC: THE RISK OF PREGNANCY HYPERTENSION
GOAL or PURPOSE: The pregnant mother will be able to gain knowledge about the risk of Pregnancy hypertension, sign and symptoms
and the management for pregnancy hypertension
PARTICIPANT/S: THE PREGNAANT MOTHER WHO ARE AT RISK OF HYPERTENSION
Introduction: Pregnancy can be a normally stressful time in a woman’s/family’s life, therefore any complication during pregnancy
presents as a crisis situation. It is important to enlist or engage the patient when assessing and evaluating a patient with
hypertensive disorder. This teaching plan addresses the educational information needed for a hypertensive pregnant patient to help
her understand her condition and its risk, and to teach her to report accurate sign and symptoms of her disorder.
DATE OBJECTIVE CONTENT METHOLOGY RESOURCE METERIAL EVALUATION
PERSON TO BE USE SCHEME
At the end of 1-
March hour health Teaching methods Health
15, teaching the Enumerate the types of pregnancy like talks, learning Fully Met if:
2020 pregnant mother hypertension and its sign and Symptoms lectures, materials
will be able to: demonstration include The Pregnant
Identify the signs Pregnancy induced hypertension (PIH) is a and question and posters, Mother’s was
and symptoms of condition wherein vasospasm occurs during answer with the flip able to
pregnancy pregnancy in both the small and large patient charts and verbalized
hypertension arteries in the body. Also known as leaflets, understanding
Identify the gestational hypertension. Pregnancy visual of the sign
possible maternal Induced Hypertension is a form of high material, and symptoms
and fetal risk that blood pressure in pregnancy. and audio- of pregnancy
is correlated to visual hypertension,
hypertension Hypertensive disorders of pregnancy, that material the necessity
Identify the risk includes preexisting and gestational such as for accurate
factors of hypertension, preeclampsia, and TV, films reporting of
pregnancy eclampsia, complicate up to 10% of and videos severe
hypertension pregnancies and represent a significant symptoms and
Understand the the
instructions when importance of
to report the cause of maternal and perinatal morbidity management.
following symptoms and mortality.
to health care
professional THIS WOULD help the mother understand her
Understand the condition and the differences OF
management for gestational hypertension, preeclampsia
pregnancy with or without severe features and
hypertension eclampsia
Gestational Hypertension
Sign and Symptoms:
Blood Pressure is 140/90mmhg or
systolic pressure is elevated to
30mmhg or diastolic pressure
elevated to 15mmhg above pregnancy
level.
No Proteinuria or Edema
Blood Pressure return to normal
after birth
Gestational hypertension is high
blood pressure that may develop
while you are pregnant. It starts
after 20 weeks of pregnancy. it
doesn’t have any other symptoms.
And in many cases, it does not harm
the mother and the baby, and it
goes away within 12 weeks after
childbirth. But it does raise the
risk of the mother in having high
blood pressure in the future. It
sometimes can be severe, which may
lead to low birth weight or preterm
birth. And Some women with
gestational hypertension do go on
or leads to develop preeclampsia.
Preeclampsia without severe Feature
Sign and Symptoms:
Blood Pressure is 140/90mmhg or systolic
pressure is elevated to 30mmhg or
diastolic pressure elevated to 15mmhg
above pregnancy level.
Proteinuria of 1+ to 2+ on a random
sample Weight gain over 2lb./week in
second trimester and 1 lb./week in third
trime ster Mild edema in upper
extremities or face
Preeclampsia with severe Feature
Sign and Symptoms:
Blood Pressure is 160/110mmhg or
Proteinuria 3+ to 4+ on a random sample
Oliguria (500ml or less in 24 hour or
altered renal function tests; elevated
serum creatinine more than 1.2mg/dl)
Cerebral or visual disturbances
(headache, blurred vision or sensitivity
to light)
Pulmonary or cardiac involvementExtensive
peripheral edemaHepatic
dysfunctionThrombocytopeniaEpigastric
pain
Preeclampsia is a sudden increase
in blood pressure after the 20th
week of pregnancy. It usually
happens in the last trimester. In
rare cases, symptoms may not start
until after delivery. Preeclampsia
also includes signs of damage to
some of your organs, such as your
liver or kidney. The signs may
include protein in the urine and
very high blood pressure.
Preeclampsia can be serious or even
life-threatening for both you and
your baby.
Eclampsia
Eclampsia is a severe form of
preeclampsia. Women with eclampsia
have seizures resulting from the
condition.
Sign and Symptoms:
Either seizure or coma accompanied by
sign and symptoms of preeclampsia are
present
Possible maternal and fetal risk that is
correlated to hypertension
This are the maternal and fetal risk
factors that may occur during her
pregnancy so this would help the patient
understand the effects of pregnancy
hypertension to her and her fetus.
Decreased blood flow to the placenta -
High Blood Pressure affects the placenta
to develop and makes it to produced limit
amounts of oxygen and nutrients required
for the fetus
Placental abruption - This maybe one of
the risk factors if mother is possible or
developing Pre-eclampsia. This happen
when the placenta separates from the
uterine wall before delivery which puts
the mother in to at risk of severe
bleeding or hemorrhage
Intrauterine Growth Restriction - Due to
the increase in blood pressure there is a
slow progression on how the baby develop
and grow inside the womb due to the
restriction that happens cause by the
increase in blood pressure. That’s why
premature delivery happens.
Induction of labor - To stimulate uterine
contraction before true labor begins
especially if the baby cannot get the
enough oxygen and nutrients required. so
fetal distress may occur so Induction of
Labor might be perform
Premature Delivery - Due to the increase
in blood pressure, baby inside the womb
may not get the enough oxygen and
nutrients needed for the growth factors
that’s why they deliver the baby as early
as the expected date
Possible Cardiovascular Disease - Even
after birth if Blood Pressure remain high
and you experience pre-eclampsia during
pregnancy mother is possible of
developing heart or vessel diseases or
even stroke afterward.
Enumerate the risk factors of pregnancy
hypertension
So this are some conditions may increase the risk of
developing pregnancy hypertension
Previous history or family history
of hypertension Presence Diabetes
First pregnancy Maternal age over
35 years’ old Multiple gestation
Hydramnios Obesity Prolong interval
between pregnancy
Teaching the mother, the instructions to
report the following symptoms to health
care professional
The following are the most common
symptoms of pregnancy hypertension.
However, each woman may experience
symptoms differently but it is important
teach the mother the common symptom for
her to know if she needs to seek help
from a health care professional
Increase edema of the face and
extremities Headache that is throbbing,
pounding or piercing that is not relieve
by the counter medication Vision
disturbance (ex. Spot or bright light)
Decrease in urine output Complain of
lethargy or fatigue More than 1 to 2
pounds’ weight gain in one week
Management for pregnancy hypertension
The goal of this management is to prevent the condition
from becoming worse and to prevent it from causing
other complications. Management for gestational
hypertension may include:
Promote bed rest
Pag ang body po is in recumbent
position ang sodium tends to be
excreated at a faster rate than
during activity, it is one of the
best method of aiding increase
evacuation of sodium and
encouraging diuresis of edema
fluid. Pero make sure po na yung
mother is not in supine position to
avoid supine hypotension syndrome
Monitor maternal well-being
Monitoring blood pressure at least
every 4 hours
It is important to regularly check
the blood pressure of the mother at
least every 4 hours or with a
continues monitoring device to
detect any increase, which will
serve po as a warning if the
condition of the mother is getting
worse
obtain blood studies such as
complete blood count, platelet
count, liver function, to assess
renal and liver function and the
development of DIC (Disseminated
intravascular coagulation) which
are often accompanies severe
vasospasm.
daily hematocrit level are used to
monitor blood count concentration.
Obtain daily weight - Obtaining
daily weights in order to take note
if there are changes on the weight
of the mother and this also serves
as another evaluation of fluid
retention.
Monitoring fluid intake and urine
output - fluid retention often is
associated with preeclampsia
Monitor fetal well-being
Close fetal monitoring is important
to know the condition of the fetus.
Support nutritional intake – woman
needs a diet moderate to high in
protein and moderate in sodium to
compensate for the protein that she
is losing in the urine.
Emotional support – it is difficult
for a woman with preeclampsia to
appreciate the potential
seriousness of symptoms because
they are uncertain or unclear so
they tend to ignore symptom, so
emotional support from the support
system would help the mother have a
clear understanding and helps to
lessen the anxiety during
pregnancy.
Administer Medication: first is to
inform the mother of the medication
prescribe by the doctors, provide
information like the prescribed
dosage, adverse effect,
contraindication of the medication
before administration
Advice Keep your prenatal
appointments. Visit your health care provider
regularly throughout your pregnancy.
Disseminated intravascular coagulation (DIC) is an acquired clinicobiological syndrome characterized by widespread activation of
coagulation leading to fibrin deposition in the vasculature, organ dysfunction, consumption of clotting factors and platelets, and
life-threatening hemorrhage.
Fetal monitoring
Your healthcare provider may do tests to check the health of your baby. These tests may include:
Fetal movement counting. You’ll keep track of your baby’s kicks and movements. A change in the number of kicks or how often your baby kicks may mean your baby is under stress.
Nonstress testing. This test measures your baby’s heart rate in response to his or her movements.
Biophysical profile. This test combines a nonstress test with an ultrasound to watch your baby.
Doppler flow studies. This is a type of ultrasound that uses sound waves to measure the flow of your baby’s blood through a blood vessel.
Hydramnios is a condition that occurs when too much amniotic fluid builds up during pregnancy. It is also called amniotic fluid disorder, or polyhydramnios.