(select all that apply) A nurse is planning care for a client with eclampsia who is scheduled for delivery as soon as possible.
Which of the following interventions should the nurse include in the plan? (Select all that apply.)
Monitor fetal heart rate and uterine activity continuously
Administer oxytocin to augment labor
Maintain a dark and quiet environment
Encourage oral fluids and a high-protein diet
Assess for signs of placental abruption
Correct Answer : A,C
Answer is A and C. Eclampsia is a life-threatening complication of pregnancy that causes seizures due to severe hypertension. The nurse should monitor the fetal heart rate and uterine activity continuously to assess for signs of fetal distress or placental abruption. The nurse should also maintain a dark and quiet environment to reduce stimuli that might trigger seizures.
Statement B is wrong because administering oxytocin to augment labor can increase the risk of uterine rupture and placental abruption in a patient with eclampsia.
Statement D is wrong because encouraging oral fluids and a high-protein diet can worsen the fluid retention and renal impairment in a patient with eclampsia.
Statement E is wrong because assessing for signs of placental abruption is not enough. The nurse should also monitor the vital signs, urine output, neurological status, and laboratory values of the patient with eclampsia.
Normal ranges for blood pressure are less than 120/80 mmHg for non-pregnant adults and less than 140/90 mmHg for pregnant women. Normal ranges for protein in urine are less than 150 mg/day for non-pregnant adults and less than 300 mg/day for pregnant women.
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Correct Answer is A
Explanation
A. To prevent seizures.
Magnesium sulfate is a mineral that can reduce seizure risks in women with severe preeclampsia.It is often given intravenously and can also be used to prolong pregnancy for up to two days.Magnesium sulfate is also used to prevent and manage seizures in women with postpartum preeclampsia.
• Statement B is wrong because magnesium sulfate does not lower blood pressure.It may be given along with medications that help reduce blood pressure.
• Statement C is wrong because magnesium sulfate does not induce labor.It may be given to delay delivery for up to 48 hours to allow time for the administration of drugs that speed up the baby’s lung development.
• Statement D is wrong because magnesium sulfate does not reduce edema.Edema is a common symptom of preeclampsia, but it is not a direct cause of complications.
Correct Answer is C
Explanation
To accelerate fetal lung maturity.Corticosteroids are given to pregnant women with severe pre-eclampsia who are at risk of preterm delivery to help the development of the fetus’s lungs and reduce the risk of respiratory distress syndrome.
This can improve the survival and health outcomes of the newborn.
Choice A is wrong because corticosteroids do not reduce inflammation in pre-eclampsia.They are used for other inflammatory conditions such as asthma or arthritis.
Choice B is wrong because corticosteroids do not prevent infection in pre-eclampsia.They can actually increase the risk of infection by suppressing the immune system.
Choice D is wrong because corticosteroids do not increase platelet count in pre-eclampsia.They can actually decrease the platelet count by causing thrombocytopenia.
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