A primigravida calls the Labor & Delivery unit and tells the nurse that she is 39 weeks pregnant and that over the past few days, although her breathing has become easier, she now feels the urge to urinate more often and has more swelling in her ankles and feet.
The nurse tells the client that she is experiencing what is commonly called:

Rationale for correct condition: The client presents with a history of chronic hypertension, headache, visual disturbances, upper abdominal discomfort, and elevated blood pressure. Diagnostic results show elevated uric acid, proteinuria, and decreased platelet count. Physical examination reveals facial swelling, trace pitting edema, and hyperreflexia with clonus. These findings indicate preeclampsia, a condition of elevated blood pressure and proteinuria after 20 weeks of gestation. Preeclampsia may lead to severe complications if untreated.

Rationale for actions:

• Administering magnesium sulfate helps prevent seizures associated with severe preeclampsia.
• Preparing for immediate delivery is necessary if preeclampsia poses a severe risk to the mother or fetus.

Rationale for parameters:

• Monitoring blood pressure trends is crucial to manage and prevent severe hypertensive complications.
• Checking platelet count helps detect worsening coagulopathy, which is common in preeclampsia.

Rationale for incorrect conditions:

• Gestational hypertension: It lacks proteinuria and does not fully account for symptoms like severe headache and visual disturbances.
• HELLP syndrome: Although it shares similarities, HELLP would present with more severe hemolysis and liver involvement.
• Placental abruption: This condition would present with vaginal bleeding and abdominal pain, which are not reported in this case.

Step 1 is 2800 grams × 2.5 mg/kg. 2800 grams × 2.5 mg/kg = 7000 mg/kg.

Step 2 is 7000 mg ÷ (1000 mg/kg). 7000 mg ÷ (1000 mg/kg) = 7 mg.

Final calculated answer: 7 mg.