Pregnancy Complications - 4

Preeclampsia


Preeclampsia is a hypertensive disorder of pregnancy with multi system involvement

Clinical Findings
  • Blurred or altered vision
  • Epigastric pain
  • Headache
  • Edema
  • Proteinuria
  • Hyperreflexia
  • Hypertension
Nursing Care
  1. Closely monitor vital signs
  2. Assess deep tendon reflexes
  3. Dipstick urine for protein
  4. Record presence of edema
  5. Palpate tone of fundus
  6. Auscultate fetal heart rate and apply EFM
  7. Monitor patient comfort
  8. Collect 24-hour urine
  9. Place patient in side-lying position
  10. Keep environment quiet and dim
  11. Institute seizure precautions:
    • Side rails up and padded
    • Bed in low position
    • Suction equipment available at bedside
    • Oxygen available at bedsideInitiate IV fluids as ordered
  12. Monitor intake and output
  13. Initiate medications as ordered

Eclampsia

Clinical Findings
  • Worsening of symptoms of preeclampsia
  • Seizure activity
HELLP Syndrome

Clinical Findings
  • Worsening symptoms of preeclampsia
  • Malaise
  • Epigastric pain
  • Nausea/vomiting
  • Laboratory findings:
  • Hemolysis
  • Elevated Liver enzymes
  • Low Platelets

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