Chapter 19: nursing management of pregnancy at risk: pregnancy-related complications. Interventions (1) need medical (methotrexate folic acid inhibitor interrupts proliferation of trophoblasts) (a) methotrexate: oncology, rheumatoid arthritis, interrupts the rapidly growing cells. Week 3: pregnancy at risk (2) if it doesn"t work surgical method: implantation, occurs around the time of missed cycle; Part 2: goals, differentiate different hypertensive disorders in pregnancy, recognize worsening s/s, differentiate types of diabetes and their effects on pregnancy. Identify appropriate nursing interventions in caring for the woman with pregnancy complications. Week 3: pregnancy at risk: multifocal, focal, generalized, treatment (1) magnesium sulfate (2) antihypertensive agents, fetal reaction to seizure, should recover when mother stabilizes, nurse patient ratio 1:1, delivery usually follows seizure after stabile. Impaired carbohydrate metabolism carbohydrate intolerance glucose during pregnancy: risks: family hx; obesity; hispanic, african-american, native american, pacific islander; older women; prior hx. Gdm; prior macrosomia; prior stillbirth; pcos; cv disease.