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19.1 Introduction

Learning Objectives

  • Integrate principles of evidence-based practice when using the nursing process for the high-risk perinatal client
  • Correlate the pathophysiology, etiology, and clinical manifestations of high-risk perinatal conditions
  • Incorporate screening, diagnostic, and treatment procedures in the nursing plan of care for the high-risk perinatal client
  • Plan nutritional interventions for high-risk perinatal clients
  • Identify multidisciplinary and community resources to promote care of high-risk perinatal clients
  • Integrate pharmacological therapy in the care of high-risk perinatal clients
  • Provide health teaching to high-risk perinatal client
  • Support diversity across the life span in client-centered care
  • Integrate psychosocial support in the care of high-risk perinatal clients

Chapter 19 was developed for use by students in the Complex Health Alterations II course (543-113), a second-year course for students in the Associate Degree Nursing program in the Wisconsin Technical College System (WTCS). This chapter contains detailed information about high risk pregnancies covered under the course competency, “Integrate nursing care for the high-risk perinatal client.”  Note that common perinatal complications are previously introduced in the “Labor and Delivery Care” and “Postpartum Care” chapters. This chapter will elaborate on these common complications and discuss conditions associated with high-risk pregnancies.

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