HDP Episode 1: Classify, Measure, Diagnose | Preeclampsia for Nursing Students (10 min)

#Preeclampsia #HypertensionInPregnancy #HDP Episode 1 of 5: meet Khun Nook, an invented teaching case. She is 32, pregnant for the first time, BMI 31, and her mother had preeclampsia. Her booking pressure is normal. How do you classify hypertension in pregnancy, screen for risk, measure blood pressure accurately, recognise severe features, choose the right tests, and give aspirin advice safely? Designed for 4th-year undergraduate and postgraduate nursing and midwifery students, with 5 application MCQs and clinical reasoning. WHAT YOU WILL LEARN Why "PIH" is a label, not a diagnosis: chronic, gestational, preeclampsia, superimposed, eclampsia, HELLP How ISSHP, NICE and ACOG frameworks differ, and why you name the framework your unit uses The multisystem mechanism and what it means for nursing priorities Risk screening, and documenting the actual prior event Accurate BP technique; the severe range; why a systolic of 160 or more is an emergency even with a diastolic below 110 Severe features, proteinuria thresholds (units are not interchangeable), and the role of PlGF testing Aspirin guidance, why two 81 mg tablets are 162 mg and not 150 mg, and calcium evidence side by side CLINICAL PEARLS Oedema and rapid weight gain do not diagnose preeclampsia. Do not delay treatment waiting for a 24-hour urine. Four-hour confirmation applies only to non-severe readings. TEST YOURSELF Five application MCQs at 6:09, answers with clinical reasoning at 8:03. Pause and decide before the reveal. CHAPTERS 0:00 Meet Khun Nook 0:40 Name the disorder 1:22 Why it happens 2:00 Who is at risk? 2:38 Measure BP accurately 3:15 Severe features 3:59 Tests and biomarkers 4:42 Aspirin and calcium 5:34 Pause and reflect (Tanner) 6:09 Test yourself: 5 case MCQs 8:03 Answers with clinical reasoning 9:30 Take-home message 9:49 Key references TAKE-HOME Name the disorder, not just PIH. Measure accurately and repeat severe readings promptly. A systolic of 160 or more is an emergency even with a diastolic below 110. Confirm the aspirin dose with the prescriber. SERIES Khun Nook, Episodes 1 to 5: Classify, screen, measure, diagnose; Severe hypertension, the first hour; Magnesium, safely; HELLP, the baby and the birth; After birth and beyond. NOTE ON SOURCES Based on a comprehensive hypertensive-disorders-of-pregnancy nursing review provided by the presenter (RTCOG OB 69-046, NICE NG133, ISSHP 2021, ACOG, and primary trials). The review is newer than many textbooks, so statements are attributed "per the provided review". Khun Nook and her values are an invented teaching case. Thresholds and doses are educational summaries, not prescribing orders. Tanner's model is a teaching framework added by the presenter. Please verify references before formal citation. DISCLAIMER For education only. Follow your local protocol, scope of practice and authorised orders. It does not replace clinical judgement. PRESENTER Dr. Lawitra Khiaokham Faculty of Nursing, Chiang Mai University KEY REFERENCES (abbreviated) American College of Obstetricians and Gynecologists, & Society for Maternal-Fetal Medicine (2021). https://www.acog.org/clinical/clinica... American College of Obstetricians and Gynecologists (2020). https://www.acog.org/clinical/clinica... Cluver et al. (2025). doi:10.1002/14651858.CD001059.pub6 Khander et al. (2026). doi:10.1097/AOG.0000000000006100 Magee et al. (2022). https://isshp.org/wp-content/uploads/... National Institute for Health and Care Excellence (2019). https://www.nice.org.uk/guidance/ng13... Rolnik et al. (2017). doi:10.1056/NEJMoa1704559 Royal Thai College of Obstetricians and Gynaecologists (2026). https://www.rtcog.or.th/content/readf... #Preeclampsia #HypertensionInPregnancy #HDP #NursingEducation #Midwifery #MaternalHealth #BloodPressure #AspirinPreeclampsia #ClinicalJudgment #TannerModel #NursingStudents #DoodleLearning #MidwiferyStudents #Obstetrics #ACOG