Peggy pregnant is a 38 year-old female who will be having a prenatal

Question Peggy pregnant is a 38 year-old female who will be having a prenatalat the Rural Health Unit. She is 25 weeks pregnant. This is her first pregnancy. She has some complaints of mild intermittent headaches, fatigue and some lower extremity swelling and has had one episode of elevated blood pressure of 140/90.  HISTORY:           Mrs. Pregnant has been married for eight years and this is her first pregnancy. She attended two years of college and works full time as a hair dresser so she is on her feet most of the day. She has been active in her community and church. She also volunteers . She runs 3 miles per day.           Mrs. Pregnant’s parents are alive and in fair health. Her mother has hypertension and hyperlipidemia both of which she takes medication for. Her father also has a history of elevated blood pressure ; however, he is well controlled by lifestyle changes (dietary changes, exercise and weight loss.) her maternal grandfather died from complications of heart disease at an early age.           Mrs. Pregnant reports having the “normal” childhood illness of chickenpox. She does have a documented pre-hypertension prior to her pregnancy. She denies any other complications or prolonged illnesses or injuries.REVIEW:⮚    What are Mrs. Pregnant’s risk factors?Her risk factors are :ü Age                  ü Primigravidaü Family history⮚    What are her strengths?ü Healthy Lifestyle⮚    What would you include in your objective assessment?blood pressure measurement.urine testing.assessment of edema.frequent weight measurements.eye examination to check for retinal changes.liver and kidney function tests.blood clotting tests. ⮚    What would you include in your review of systems?⮚    What will you include in your physical assessment?⮚    What will you include in your psycho-social assessment?⮚    What and when would you check in with her provider?⮚    What anticipatory guidance would you include in your visit?⮚    What plan of care would propose to Mrs. Pregnant and her provider for further home care involvement?  Health Science Science Nursing NURSING NCM Share QuestionEmailCopy link Comments (0)