medical history of hypertension

#1  A 35 year old G1P0 is 20 weeks gestation with a past medical history of hypertension.  Her pregnancy has been uneventful; however, at today’s appointment, her blood pressure was 150/100mmHg at first check and 15 minutes later was still 136/90 mmHg.  She is also complaining of light-headedness and palpitations.

A.  What actions would you take as her nurse?

B.  What change should this patient be encouraged to do?

C.  What are the expected outcomes?

#2.  The patient is a 17 year old female who arrives to the emergency department in active labor with a questionable past of obstetrical history.  She indicates that she has had no prenatal care, does not remember her last menstruation period, and is evasive if this is her first pregnancy.  Blood work indicates she is Rh negative.

A.  What are some concerns you as her nurse should be prepared for?

B.  What teaching does this patient need?

C.  What are the expected outcomes for this patient?