Eclampsia in-depth Discussion and Nursing Responsibilities

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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?

Due to changes in hydrostatic pressures facilitating movement of fluid into tissues Signup and view all the answers

In preeclampsia, what can lead to pulmonary edema?

Continuous capillary leakage combined with decreased colloidal pressure Signup and view all the answers

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

Vasoconstriction Signup and view all the answers

What does HELLP stand for in the context of preeclampsia?

Hemolysis, Elevated Liver enzymes, Low Platelets Signup and view all the answers

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

Destroy RBCs as they try to navigate through constricted vessels Signup and view all the answers

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

Result in tissue ischemia and hemorrhagic necrosis in the liver Signup and view all the answers

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

They decrease in number Signup and view all the answers

When can HELLP syndrome occur during pregnancy?

Anytime during pregnancy and the postpartum period Signup and view all the answers

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

To detect signs of pulmonary edema Signup and view all the answers

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

Rapidly deteriorating liver function and thrombocytopenia Signup and view all the answers

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

Liver rupture Signup and view all the answers

How is HELLP syndrome typically managed to improve platelet count?

Transfusion of fresh-frozen plasma or platelets Signup and view all the answers

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

Diffuse form of clotting consuming large amounts of clotting factors Signup and view all the answers

What are the most common causes of DIC in pregnancy?

Excessive blood loss, placental abruption, amniotic fluid embolism, and severe preeclampsia/HELLP syndrome Signup and view all the answers

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

To prevent depletion of platelets and clotting factors Signup and view all the answers

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