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Health, Medicine, Nursing
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Project Topic: Hypertensive Management in Pregnancy (Coursework Sample)


In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Students should consider the clinical environment in which they are currently employed or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The student may also choose to work with an interprofessional collaborative team. TOPIC CHOSEN (HYPERTENSIVE MANAGEMENT IN PREGNANCY)
Students should select a topic that aligns to their area of interest as well as the clinical practice setting in which practice hours are completed.
Write a 500-750 word description of your proposed capstone project topic. Include the following:
The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal.
The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed.
A description (providing a high level of detail) regarding the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.
Effect of the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.
Significance of the topic and its implications for nursing practice.
A proposed solution to the identified project topic with an explanation of how it will affect nursing practice.
You are required to cite to a minimum of eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Plan your time accordingly to complete this assignment.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.


Project Topic: Hypertensive Management in Pregnancy
Student’s Name
Institutional Affiliation
Project Topic: Hypertensive Management in Pregnancy
Hypertension disorders constitute some of the challenges that nurses who work in maternal healthcare units will face every day. With ever-rising cases of chronic illnesses like hypertension, maternal and child health will always be at risk, and this means that one of the ways of battling hypertension in pregnancy involves arming the nurses with adequate information and skills on pregnancy-related blood pressure disorders. The management of hypertension in pregnancy has far-reaching implications on nursing practice, including the capacity of the nurses to assist in prevention, screening, diagnosis, and interning during emergency cases, in the context of gestational hypertension, pre-eclampsia and eclampsia.
The hypertensive disorders in pregnancy, which include pre-eclampsia and eclampsia, are among the leading causes of maternal and perinatal morbidity and mortality (American College of Obstetricians and Gynecologists (ACOG) 2020; Macedo et al., 2020). The complications associated with pre-eclampsia covers 2–8% of pregnancies globally (Bouter & Duvekot, 2020), almost 26% of maternal deaths are attributed to hypertension disorders in Latin America and the Caribbean while they lead to about 9 % of maternal deaths in Africa and Asia (ACOG.,2020). Pre-eclampsia is a pregnancy disorder characterized by hypertension and multisystem complications, and adverse outcomes of pre-eclampsia include complicated hypertension, stroke, renal and hepatic injury, hemorrhage, fetal growth restriction, and death (Anderson & Schmella, 2017; Chappell et al., 2019).
. Gestational hypertension is more common than pre-eclampsia, but the later presents profound challenges during pregnancy. Macedo et al. (2020) point out that pre-eclampsia is possibly caused by the trophoblastic invasion failure in the myometrial spiral arteries, and other mechanisms of causation may include immune 13 and epigenetic 14 dynamic changes that can define the onset and progression of this condition, which results in placental dysfunction. However, the genetic component remains unclear.
The pre-eclampsia disease process is complex: its mechanism is postulated to include chronic uteroplacental ischemia, immune maladaptation, very low-density lipoprotein toxicity, genetic imprinting, increasing trophoblast apoptosis or necrosis (, and an increased maternal inflammatory response towards deported trophoblasts, while recent findings suggest the imbalances of angiogenic factors (ACOG, 2020). Pre-eclampsia is confirmed blood pressure ≥140 mmHg systolic or ≥90 mmHg diastolic) after 20 weeks of gestation (Neuman et al.,2018) and is characterized by the presence of proteinuria with or without evidence of acute kidney injury, liver dysfunction, neurological features, hemolysis or thrombocytopenia, in the mother, and or with fetal growth restriction (Macedo et al. 2020). Eclampsia advanced pre-eclampsia, but it is marked by the onset of generalized tonic-clonic seizures in a woman with pre-eclampsia.
Some risk factors increased expos...

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