Preeclampsia Case Study 305

Academic year: 2021/2022

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Case Study

Preeclampsia

Susan is a 19-year-old. She is very picky but likes vegetables like corn, beans, and peas, fruits like bananas and oranges, and dairy such as chocolate milk. She generally consumes one of these vegetables and fruits each day, and always has a glass of chocolate milk. Susan consumes sweetened iced tea throughout the day, and twice a week she eats rice with meat vs her normal meat and potatoes.

Her first 17 weeks of pregnancy are uneventful. At week 18, she is found to have proteinuria. By week 22, her blood pressure had increased to 150/100 mm Hg, and she was diagnosed with preeclampsia. Laboratory studies indicated that her blood glucose level was on the high side of normal and that she was insulin resistant. She was left to follow up after her week 22 visit.

A BMI of 27 prior to pregnancy, Susan did not gain weight and restricted her salt intake after mid- pregnancy. She believed these actions would help lower her weight and blood pressure. Although she was given a supply of prenatal vitamin and mineral supplements early in pregnancy, she rarely remembers to take them. Her baby, weighing 5 lbs 5 oz, was delivered by Cesarean section at week 36.

List three ways in which Susan’s dietary intake likely contributes to oxidative stress. Well Susan is only intaking certain vegetables for herself, whereas now she is having to carry another human. She is also not very consistent with her vitamin intake which she is supposed to be taking every day.
Identify two other characteristics of her diet that are contraindicated for women with preeclampsia. Answers should be different than those for question 1. She is taking in foods with either really high or low sugars/ fats in them. She is also needing to watch her blood pressure after eating these foods which could possibly cause hypertension.
List three health problems Susan is at increased risk of developing due to her history of preeclampsia. Damaged organs, stroke and even a brain injury are at risk if increasing.

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NSC 305

Case Study

Preeclampsia

Susan is a 19-year-old. She is very picky but likes vegetables like corn, beans, and peas, fruits like

bananas and oranges, and dairy such as chocolate milk. She generally consumes one of these vegetables

and fruits each day, and always has a glass of chocolate milk. Susan consumes sweetened iced tea

throughout the day, and twice a week she eats rice with meat vs her normal meat and potatoes.

Her first 17 weeks of pregnancy are uneventful. At week 18, she is found to have proteinuria. By week

22, her blood pressure had increased to 150/100 mm Hg, and she was diagnosed with preeclampsia.

Laboratory studies indicated that her blood glucose level was on the high side of normal and that she

was insulin resistant. She was left to follow up after her week 22 visit.

A BMI of 27 prior to pregnancy, Susan did not gain weight and restricted her salt intake after mid-

pregnancy. She believed these actions would help lower her weight and blood pressure. Although she

was given a supply of prenatal vitamin and mineral supplements early in pregnancy, she rarely

remembers to take them. Her baby, weighing 5 lbs 5 oz, was delivered by Cesarean section at week 36.

1. List three ways in which Susan’s dietary intake likely contributes to oxidative stress. Well Susan

is only intaking certain vegetables for herself, whereas now she is having to carry another

human. She is also not very consistent with her vitamin intake which she is supposed to be

taking every day.

2. Identify two other characteristics of her diet that are contraindicated for women with

preeclampsia. Answers should be different than those for question 1. She is taking in foods

with either really high or low sugars/ fats in them. She is also needing to watch her blood

pressure after eating these foods which could possibly cause hypertension.

3. List three health problems Susan is at increased risk of developing due to her history of

preeclampsia. Damaged organs, stroke and even a brain injury are at risk if increasing.

Preeclampsia Case Study 305

Nutrition and wellness (NSC-150)

Grand Canyon University

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