Exam 27: Hypertensive Disorders in Pregnancy

A woman at 39 weeks of gestation with a history of preeclampsia is admitted to the labor and birth unit.She suddenly experiences increased contraction frequency of every 1 to 2 minutes,dark red vaginal bleeding,and a tense,painful abdomen.The nurse suspects the onset of:

A woman with worsening preeclampsia is admitted to the hospital's labor and birth unit.The physician explains the plan of care for severe preeclampsia,including the induction of labor,to the woman and her husband.The nurse determines that the couple needs further information when the woman's husband says:

Hypertensive disorders of pregnancy contribute significantly to maternal and infant morbidity and mortality worldwide.Neonatal complications of hypertensive disorders in the mother include:

Women with mild gestational hypertension and mild preeclampsia can be safely managed at home with frequent maternal and fetal evaluation.Complete or partial bed rest is still frequently ordered by some providers.Which is not a complication of bed rest?

HELLP syndrome is associated with an increased risk for adverse perinatal outcomes,including (choose all that apply):

Your client is being induced because of her worsening preeclampsia.She is also receiving magnesium sulfate.It appears that her labor has not become active despite several hours of oxytocin administration.She asks the nurse,"Why is it taking so long?" The most appropriate response by the nurse is:

What nursing diagnosis is the most appropriate for a woman experiencing severe preeclampsia?

Nurses should be aware that chronic hypertension:

A pregnant woman has been receiving a magnesium sulfate infusion for treatment of severe preeclampsia for 24 hours.On assessment the nurse finds the following vital signs: temperature 37.3° C,pulse rate 88 beats/min,respiratory rate 10 breaths/min,blood pressure (BP)148/90 mm Hg,absent deep tendon reflexes,and no ankle clonus.The client complains,"I'm so thirsty and warm." The nurse:

In planning care for women with severe gestational hypertension,nurses should be aware that:

The labor of a pregnant woman with preeclampsia is going to be induced.Before initiating the oxytocin (Pitocin)infusion,the nurse reviews the woman's latest laboratory test findings,which reveal a platelet count of 90,000,an elevated aspartate transaminase (AST)level,and a falling hematocrit.The nurse notifies the physician because the lab results are indicative of:

Your client has been on magnesium sulfate for 20 hours for treatment of preeclampsia.She just delivered a viable infant girl 30 minutes ago.What uterine findings do you expect to observe or assess in this client?

Magnesium sulfate is given to women with preeclampsia and eclampsia to:

The antidote administered to reverse magnesium toxicity is ______________________.

A woman with preeclampsia has a seizure.The nurse's primary duty during the seizure is to:

Preeclampsia is a unique disease process related only to human pregnancy.The exact cause of this condition continues to elude researchers.The American College of Obstetricians and Gynecologists has developed a comprehensive list of risk factors associated with the development of preeclampsia.Which client exhibits the greatest number of these risk factors?

One of the most important components of the physical assessment of the pregnant client is the determination of blood pressure.Consistency in measurement techniques must be maintained to ensure that the nuances in variation of blood pressure (BP)readings are not the result of provider error.The nurse must be aware of which techniques are important in obtaining an accurate BP reading.Choose all that apply.

A primigravida is being monitored in her prenatal clinic for preeclampsia.What finding concerns her nurse?