rn 300 week 4 hw: hypertensive disorders of pregnancy

Which woman has an increased risk for developing preeclampsia?

A 26-year-old woman with a body mass index (BMI) of 32

Which finding would the nurse recognize as indicating progression of preeclampsia to eclampsia?

A generalized seizure not attributed to other causes

The nurse assesses the blood pressure of a pregnant patient with preeclampsia and notes that is elevated. Which antihypertensive classification would be avoided for this patient?

Angiotensin-converting enzyme (ACE) inhibitors

The nurse is completing a medication reconciliation for a pregnant patient with chronic hypertension. Which medication would cause the nurse to alert the health care provider?

Captopril (angiotensin-converting enzyme [ACE] inhibitor) 25 mg bid

Which instructions would the nurse include when educating the family of a patient admitted for preeclampsia?

Dim the lights. Limit activity. Turn off the television. Limit the number of visitors.

The nurse admitting a patient for preeclampsia notes that the patient's platelet count is 95,000. Which additional laboratory result would support the diagnosis of HELLP syndrome?

Elevated AST/ALT

A patient asks the nurse to describe which factors are included in HELLP syndrome. Which factors would the nurse include in response?

Low platelets Hemolysis Elevated liver enzymes

After administration of oral (PO) labetalol for a patient with gestational hypertension, the nurse notes a blood pressure (BP) of 178/96 mm Hg. The patient also reports headache and blurry vision. Which order from the patient's health care provider would the nurse anticipate?

Magnesium sulfate

Which interventions are most appropriate when caring for a patient admitted for preeclampsia on magnesium sulfate therapy?

Monitor strict intake and output. Place protective padding on the bed's side rails. Ensure that calcium gluconate is immediately available.

When assessing the neonate born to a mother with preeclampsia, the nurse knows that low birth weight may be attributed to which factor?

Poor placental perfusion

When assessing a patient with preeclampsia on magnesium sulfate for seizure prophylaxis, the nurse notes the patient demonstrates hyperreflexia (+4). How does the nurse interpret this patient cue?

The nurse should question the health care provider regarding the current dose of magnesium sulfate.

A patient with preeclampsia has an emergency delivery at 32 weeks gestation. Which findings would the nurse anticipate in this premature neonate?

Yellow skin Weight of 2000 g Poor respiratory effort