COVER PAGE

A CASE STUDY OF A PATIENT WITH HYPERTENSION IN PREGNANCY

BY

PHILIP TANKO DOMA

INDEX NO: 2023/3404/148625/CN

EXAM NO: CN/23/00278

SUPERVISED BY:

MR. HENRY MICAH

TARABA STATE COLLEGE OF NURSING AND MIDWIFERY (SCHOOL OF

COMMUNITY NURSING) JALINGO.

MAY, 2023
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 TITLE PAGE

A CASE STUDY OF A PATIENT WITH HYPERTENSION IN PREGNANCY

BY

PHILIP TANKO DOMA

INDEX NO: 2023/3404/148625/CN

EXAM NO: CN/23/00278

TARABA STATE COLLEGE OF NURSING AND MIDWIFERY JALINGO

(SCHOOL OF COMMUNITY NURSING)

IN PARTIAL FULFILMENT OF THE REQUIREMENT OF NURSING AND

MIDWIFERY COUNCIL OF NIGERIA FOR THE CERTIFICATE OF LICENCED

COMMUNITY NURSE

MAY, 2023

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 DECLARATION PAGE

This is to declare that this case study titled: Case Study of a Patient with Hypertension is

solely the result of my work except were acknowledged as being derived from another person (s)

or resources.

AUTHOR: PHILIP TANKO DOMA

Examination number: CN/23/00278

Department/School: Community Nursing/Taraba State College of Nursing and Midwifery

Jalingo, Taraba State.

Signature.........................................................................

Date..................................................................................

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 CERTIFICATION PAGE

This is to certify that this client care project Titled: Case Study of a Patient with Hypertension

in Pregnancy. Written by Philip Tanko Doma with Examination number: CN/23/00278 been

examined and approved for the award of certificate of Licensed Community Nurse.

MR. HENRY MICAH

(RN, DNE)
(Project Supervisor)

Signature........................................................ ...........................................................

Date

Signature............................................................................................................................................

Dr. Mrs. Dugule S. Dorcas Date

(RM, RN, RME, B.Sc. MSc, PhD)

(Deputy Provost academic)

Signature.................................................... .....................................................

Name............................................................... Date

(Chief Examiner).

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 DEDICATION PAGE

This case study is dedicated to Almighty God the giver of knowledge wisdom and

understanding.

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 ACKNOWLEDGEMENT

Firstly, I thank God Almighty for his provision of Health, protection and making me to achieve

my dreams.

Special thanks to my father Mr. Tanko Doma.

I wish to appreciate my case study supervisor Mr. Henry Micah for his support and

encouragement for making this case study to be a success.

I wish to express my appreciation specifically to my counselor, my adviser, my mentor, my dad

Mr. Paul Doma for his maximum support during my academic process by making sure that I

have achieved my goals. I pray that may God Almighty protect and reward him for his goodness

to me.

I am also grateful to my brothers, Mr. Chris Shamaki, my junior brother Lufum Tanko Doma,

and my mum Christy Sabo Titus, for all their love and support in the line of my studies and for

those who I was not able to mention their names I thank you all.

I would like to thank the entire staff of Taraba State College of Nursing and Midwifery Jalingo,

specifically the provost Mrs. Esther D. Gana, Deputy provost Admin Mrs. Edna Paul Anuye,

Deputy Provost Academic, Mrs. Dugule S. Dorcas, H.O.D Dr. Chiegel Solomon J. Mr. Martin

Ibrahim, Nr Shonzenban Nawati, D.S.A Mrs. Abigail Titus in the Secretary office Mr. Shadrach,

for their advice and support during my education.

I also want to appreciate all community nursing set 2 students nurses for been together from

beginning of our studies to the end without any misunderstanding in between us thanks my God

bless you all.

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Finally the case study will like to say the list could so on and on to those not mentioned, you are

not forgotten. Thanks to the most high.

TABLE OF CONTENTS

CHAPTER ONE: INTRODUCTION

1.1 Introduction - - - 1

1.2 Personal Data - - - 1

1.3 Family and social History - - - 1

1.4 Present Medical History - - - 1

1.5 Past Medical History - - - 2

1.6 Past Surgical History - - - 2

1.7 On admission - - - 2

1.8 Social History - - - 2

CHAPTER TWO: LITERATURE REVIEW

2.0 Definition of Hypertension in pregnancy - - - 3

2.1 Aims and Objectives - - - 4

2.1.2 Causes of Hypertension in pregnancy - - 4-5

2.1.3 Clinical Manifestation - - - 5

2.1.4 Diagnosis/Laboratory Investigations - - 6-8

2.1.5 Pathophysiology - - - 8-9

2.1.6 Prevention/Control Measures - - - 9-10

2.2 Nursing Management - - - 10-11

2.2.1 Interpersonal/Nurse Relationship - - 11-12

2.2.2 Physical Examination - - - 12-13

2.2.2 Vital Signs - - - 13

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2.2.3 Health Education - - - 13

2.2.4 Medication - - - 14

2.2.5 Diet and Nutrition - - - 15-16

2.2.6 General Examination - - - 16-18

2.2 Medical Management - - - 18

2.3 Community Mobilization and education - - 19

CHAPTER THREE: HOME VISIT, FOLLOW UP AND CONTINUITY OF CARE

3.1 First home Visit - - - 20-23

3.2 Second Home Visit - - - 23-24

3.3 Nursing Care Plan - - - 25-27

CHAPTER FOUR SUMMARY, CONCLUSION AND RECOMMENDATIONS

4.0 Summary - - - 28

4.1 Conclusion - - - 28

4.2 Recommendations - - - 28-29

References - - - 30

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 ABSTRACT

Hypertension in pregnancy is a serious medical condition that affects approximately 10% of

pregnancies worldwide. It is characterized by high blood pressure levels during pregnancy and
can lead to a range of complications for both the mother and the baby. The most common types
of hypertension in pregnancy include gestational hypertension, pre-eclampsia, and chronic
hypertension. Risk factors for developing hypertension in pregnancy include obesity, preexisting
high blood pressure, and a history of pre-eclampsia. Treatment options may include medication,
lifestyle changes, and close monitoring of blood pressure levels. It is important for pregnant
women to receive regular prenatal care and to work closely with their healthcare providers to
manage hypertension in pregnancy and minimize the risk of complications.

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