Question

1.         Mrs. Johnson is a 27-year-old woman who is 24 weeks pregnant with her third child. She is working part-time at the local drugstore. Her husband works full time. They have two other children aged 5 and 3 years. Mrs. Johnson has developed gestational hypertension and the physician has ordered her to bed rest with home health assistance. A. What are some immediate concerns? B. What areas of concern should be included with home health visits?	3
2.         The local health department is concerned that there appears to be an increase of high-risk pregnancies in the community. A. How should the health department address this? B. How can the number of high-risk pregnancies be decreased? C. What are the expected outcomes?	2, 8
3.         An individual has been put on bed rest at 30 weeks’ gestation with home health visits. She has a 3-year-old son. Her husband works two jobs. Every time the home health nurse has come for a visit, the mother is up, taking care of her son. The doctor is now threatening to admit the mother to a health care facility to enforce the bed rest. A. What are some immediate concerns for the family? B. What options are available to this family? C. What nursing diagnoses could be used in this situation?	3, 4, 5

Answer 1

Answer: The major concern due to the gestational hypertension is to provide the antihypertensive therapy to the pregnant women. Because the extreme blood pressure may increases the risk to the fetal development and increases the chances of abnormalities. It the hypertension is not treated then it may cause placental abruption or may cause fatality.

The client should be instructed regarding the care she should take at home such as:

• Increases the intake of fluid as well as water.
• Adopt healthy lifestyle
• Perform some mild exercise.
• Take medicine on time.
• Take plenty of rest.
• Try to sleep on the left side to reduce the pressure on the uterus.
• Monitor the health as well as blood pressure.
• Reduce the intake of salt.