FNP ob-GYN Case Class Assignment

Class OB-GYN assignment question:

You are seeing a new patient who is Cuban in your office, and the nurse records her sitting blood pressure at 150/90 and on repeat, 154/98. The urine dip was negative except for 1+ protein. The patient complains of having a mild headache earlier that morning that resolved after eating breakfast. She also complains of increased swelling in her legs and feet and say that her blood pressure yesterday at the drug store was 150/100. She is 26 weeks’ pregnant.

Do you begin antihypertensive therapy?

Are there any diagnostic studies that should be ordered on this patient? Why?

Discuss how would you Integrate physical, psychosocial and cultural assessment into comprehensive management plans for your patient.

Reference

Bechmann, C.R., Ling, W. F., Herbert, N. W., Laube, W. D., Smith, P. R., Casanova, R., Weiss, M.P. (2014). Obstetrics and Gynecology (7th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins

Kilpatrick, S. J. (2019). Guest editorial: Has gestational hypertension been banished? Contemporary OB/GYN, 64(9), 8–10.

Sadaf, N., Hashmi, F. K., Haider, S., Iqbal, Q., Anwar, M., Ishaq, R., …Saleem, F. (2019). Frequency, Treatment, And Management of Gestational Hypertension: Findings of A Retrospective Analysis from Quetta City, Pakistan. Archives of Pharmacy Practice, 10(4), 172+. Retrieved from https://proxy.stu.edu:2645/apps/doc/A625575475/AONEu=stu_main&sid=AONE&xid=4620a50f