Case Pres: Eclampsia Flashcards
A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. Which finding would the nurse interpret as indicating a therapeutic level of medication?
With magnesium sulfate
With magnesium sulfate
deep tendon reflexes of 2+ would be considered normal and therefore a therapeutic level of the drug.
The nurse is developing a plan of care for a woman who is pregnant with twins. The nurse includes interventions focusing on which of the following because of the woman’s increased risk?
Women with multiple gestations are at high risk for preeclampsia, preterm labor, hydramnios, hyperemesis gravidarum, anemia, and antepartal hemorrhage
A woman hospitalized with severe preeclampsia is being treated with hydralazine to control blood pressure. Which of the following would the lead the nurse to suspect that the client is having an adverse effect associated with this drug?
Hydralazine reduces blood pressure but is associated with adverse effects such as palpitation, tachycardia, headache, anorexia, nausea, vomiting, and diarrhea
After reviewing a client’s history, which factor would the nurse identify as placing her at risk for gestational hypertension?
A family history of gestational hypertension, such as a mother
The nurse is reviewing the laboratory test results of a pregnant client. Which one of the following findings would alert the nurse to the development of HELLP syndrome?
HELLP is an acronym for hemolysis, elevated liver enzymes, and low platelets.
Which of the following would the nurse have readily available for a client who is receiving magnesium sulfate to treat severe preeclampsia?
Calcium gluconate
A nurse is teaching a pregnant woman with preterm premature rupture of membranes who is about to be discharged home about caring for herself. Which statement by the woman indicates a need for additional teaching?
It’s okay for my husband and me to have sexual intercourse.”
A nurse is assessing a pregnant woman with gestational hypertension. Which of the following would lead the nurse to suspect that the client has developed severe preeclampsia?
Severe preeclampsia is characterized by blood pressure over 160/110 mm Hg, urine protein levels greater than 500 mg/24 hours and hyperreflexia.
A nurse suspects that a pregnant client may be experiencing abruption placenta based on assessment of which of the following?
A) Dark red vaginal
D) Rigid uterus
E) Absent fetal heart tones
A woman with placenta previa is being treated with expectant management. The woman and fetus are stable. The nurse is assessing the woman for possible discharge home. Which statement by the woman would suggest to the nurse that home care might be inappropriate?
B) “I have a toddler and preschooler at home who need my attention.”
A woman with gestational hypertension experiences a seizure. Which of the following would be the priority?
B) Oxygenation
A woman is receiving magnesium sulfate as part of her treatment for severe preeclampsia. The nurse is monitoring the woman’s serum magnesium levels. Which level would the nurse identify as therapeutic?
B) 6.1 mEq/L
When preparing a schedule of follow-up visits for a pregnant woman with chronic hypertension, which of the following would be most appropriate?
Bi-monthly visits until 28 weeks, then weekly visits
