18 Questions
What is considered a major complication of eclampsia?
Hypoxic encephalopathy
Which of the following is NOT included in the parameters that a nurse should monitor for preeclampsia patients?
Fetal heartbeat
What is one of the signs or symptoms of pulmonary edema that nurses should watch for in preeclampsia patients?
Tachycardia
How is edema generally related to changes in pregnancy?
Due to changes in hydrostatic pressures facilitating movement of fluid into tissues
In preeclampsia, what can lead to pulmonary edema?
Continuous capillary leakage combined with decreased colloidal pressure
What may capillary refill greater than 3 seconds indicate in preeclampsia patients?
Vasoconstriction
What does HELLP stand for in the context of preeclampsia?
Hemolysis, Elevated Liver enzymes, Low Platelets
How can arteriolar vasospasms in preeclampsia affect red blood cells (RBCs) circulation?
Destroy RBCs as they try to navigate through constricted vessels
Why does preeclampsia-associated vasospasms lead to elevated liver enzymes?
Result in tissue ischemia and hemorrhagic necrosis in the liver
What happens to platelets in response to endothelial damage caused by vasospasms in preeclampsia?
They decrease in number
When can HELLP syndrome occur during pregnancy?
Anytime during pregnancy and the postpartum period
Why is pulmonary status assessment important in patients receiving intravenous fluids?
To detect signs of pulmonary edema
What is a characteristic finding of hepatic dysfunction in HELLP syndrome?
Rapidly deteriorating liver function and thrombocytopenia
What is one of the most ominous complications associated with HELLP syndrome?
Liver rupture
How is HELLP syndrome typically managed to improve platelet count?
Transfusion of fresh-frozen plasma or platelets
What is the primary characteristic of Disseminated Intravascular Coagulopathy (DIC)?
Diffuse form of clotting consuming large amounts of clotting factors
What are the most common causes of DIC in pregnancy?
Excessive blood loss, placental abruption, amniotic fluid embolism, and severe preeclampsia/HELLP syndrome
Why is early diagnosis and management critical in reducing maternal and perinatal death rates in DIC?
To prevent depletion of platelets and clotting factors
Explore an in-depth discussion on eclampsia, including major complications like cerebral haemorrhage, aspiration pneumonia, and hypoxic encephalopathy. Learn about nursing responsibilities in preventing eclampsia through monitoring parameters and assessments.
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