Excessive amniotic fluid (Polyhydramnios).
b. Diabetic patients are at risk for developing preeclampsia. They also have a
risk of a difficult delivery as a result of the large size of the baby.
c. Nursing implications are as follow.
(1) Test patient's urine for glucose with clinitest tabs as ordered by OB
practitioner or physician.
(2) Administer oral hypoglycemic medications or insulin as ordered by the
OB practitioner or physician.
(3) Teach the patient the left lateral-recumbent position to rest. This
position improves intrauterine blood flow and may decrease the occurrence of
Apply all nursing implications learned for the care of an adult with
Hypertension-Pregnancy-Induced (PIH) is another name for preeclampsia or
eclampsia. It is a serious, statistically important disorder characterized by the
development after the twentieth week of gestation of hypertension, with albuminuria or
edema or both. The exact cause of PIH is unknown.
a. Preeclampsia. The signs of preeclampsia are referred as being classic (see
(1) Hypertension. Hypertension is blood pressure, which is greater than
140/90, but less that 160/110.
Albuminuria. Albumin (a protein) is not normally found in the urine.
(3) Edema. There is a swelling of the upper body (hands and face) in
addition to swelling of the ankles, which is normally seen in pregnancy.
b. Eclampsia. This refers to the progression of the above classic signs with the
addition of convulsions or a coma.