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Evaluation

Is the patient a woman of child-bearing age?

Is the patient currently pregnant?

What is the week of the gestation?

systolic pressure
diastolic pressure
blood pressure when nonpregnant
mm Hg
first measurement of blood pressure
mm Hg
second measurement of blood pressure
mm Hg

Were the 2 blood pressure readings during pregnancy taken more than 6 hours apart?

Is urine protein measured by dipstick (D) or quantitated (Q)?

First urine measurement

mg per 24 hours

Second urine measurement

mg per 24 hours

Select an appropriate answer for each finding

First urine protein on dipstick

Second urine protein on dipstick

Were the urine protein measurements taken more than 6 hours apart?

Urine output

mL per 24 hours

Does the patient have peripheral edema?

Does the patient have pulmonary edema?

Is the patient cyanotic?

Does the patient have visual disturbances?

Does the patient show mental changes (cognition, confusion, etc.)?

Has the patient had seizures related to hypertension?

Results

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