Eclampsia in-depth Discussion and Nursing Responsibilities
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Questions and Answers

What is considered a major complication of eclampsia?

  • Pulmonary embolism
  • Respiratory distress syndrome
  • Hypoxic encephalopathy (correct)
  • Gestational diabetes

Which of the following is NOT included in the parameters that a nurse should monitor for preeclampsia patients?

  • Fetal heartbeat (correct)
  • Blood pressure
  • Weight
  • Skin color and temperature

What is one of the signs or symptoms of pulmonary edema that nurses should watch for in preeclampsia patients?

  • Decreased respiratory rate
  • Tachycardia (correct)
  • Bradycardia
  • Hypotension

How is edema generally related to changes in pregnancy?

<p>Due to changes in hydrostatic pressures facilitating movement of fluid into tissues (C)</p> Signup and view all the answers

In preeclampsia, what can lead to pulmonary edema?

<p>Continuous capillary leakage combined with decreased colloidal pressure (C)</p> Signup and view all the answers

What may capillary refill greater than 3 seconds indicate in preeclampsia patients?

<p>Vasoconstriction (B)</p> Signup and view all the answers

What does HELLP stand for in the context of preeclampsia?

<p>Hemolysis, Elevated Liver enzymes, Low Platelets (A)</p> Signup and view all the answers

How can arteriolar vasospasms in preeclampsia affect red blood cells (RBCs) circulation?

<p>Destroy RBCs as they try to navigate through constricted vessels (D)</p> Signup and view all the answers

Why does preeclampsia-associated vasospasms lead to elevated liver enzymes?

<p>Result in tissue ischemia and hemorrhagic necrosis in the liver (C)</p> Signup and view all the answers

What happens to platelets in response to endothelial damage caused by vasospasms in preeclampsia?

<p>They decrease in number (B)</p> Signup and view all the answers

When can HELLP syndrome occur during pregnancy?

<p>Anytime during pregnancy and the postpartum period (A)</p> Signup and view all the answers

Why is pulmonary status assessment important in patients receiving intravenous fluids?

<p>To detect signs of pulmonary edema (B)</p> Signup and view all the answers

What is a characteristic finding of hepatic dysfunction in HELLP syndrome?

<p>Rapidly deteriorating liver function and thrombocytopenia (C)</p> Signup and view all the answers

What is one of the most ominous complications associated with HELLP syndrome?

<p>Liver rupture (B)</p> Signup and view all the answers

How is HELLP syndrome typically managed to improve platelet count?

<p>Transfusion of fresh-frozen plasma or platelets (A)</p> Signup and view all the answers

What is the primary characteristic of Disseminated Intravascular Coagulopathy (DIC)?

<p>Diffuse form of clotting consuming large amounts of clotting factors (A)</p> Signup and view all the answers

What are the most common causes of DIC in pregnancy?

<p>Excessive blood loss, placental abruption, amniotic fluid embolism, and severe preeclampsia/HELLP syndrome (C)</p> Signup and view all the answers

Why is early diagnosis and management critical in reducing maternal and perinatal death rates in DIC?

<p>To prevent depletion of platelets and clotting factors (A)</p> Signup and view all the answers

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