What is the most common cause of death in women with eclampsia.

Cerebral hemorrhage

Pulmonary edema

Liver rupture

Disseminated intravascular coagulation

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. Cerebral hemorrhage. Eclampsia is a severe complication of preeclampsia that causes seizures and can lead to stroke or death. Cerebral hemorrhage is bleeding in the brain that can result from high blood pressure and swelling in the brain caused by eclampsia. It is one of the most common causes of death in women with eclampsia.

Choice B. Pulmonary edema is wrong because it is not the most common cause of death in women with eclampsia.

Pulmonary edema is fluid accumulation in the lungs that can impair breathing and oxygen exchange. It can occur as a complication of eclampsia, but it is less frequent than cerebral hemorrhage.

Choice C. Liver rupture is wrong because it is not the most common cause of death in women with eclampsia.

Liver rupture is a rare but serious complication of eclampsia that involves bleeding from the liver due to increased pressure and damage to the liver tissue. It can cause severe abdominal pain, shock and death.

Choice D. Disseminated intravascular coagulation (DIC) is wrong because it is not the most common cause of death in women with eclampsia.

DIC is a condition where the blood clotting system becomes overactive and forms clots throughout the body, leading to bleeding and organ failure. It can occur as a complication of eclampsia, but it is less common than cerebral hemorrhage.

Normal ranges for blood pressure are below 140/90 mmHg and for proteinuria are below 300 mg/24 hours or below 30 mg/dL in a urine sample.

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Correct Answer is D

Explanation

The correct answer is choice D. All of the above.All of these factors increase a woman’s risk for developing gestational hypertension.

Choice A is wrong because nulliparity (having no previous pregnancies) is a risk factor for gestational hypertension.Rates in nulliparous women range from 6% to 17% while rates in multiparous women range from 2% to 4%.

Choice B is wrong because age younger than 20 years is a risk factor for gestational hypertension.Pregnant women more than 40 years or less than 18 years are at risk of gestational hypertension.

Choice C is wrong because history of chronic renal disease is a risk factor for gestational hypertension.High blood pressure can also cause problems during and after delivery, such as preeclampsia, eclampsia, stroke, and placental abruption.

Gestational hypertension is blood pressure greater than or equal to 140/90 that begins during the latter half of pregnancy (typically after 20 weeks) and goes away after childbirth.It can put the mother and her baby at risk for problems during the pregnancy, such as preterm delivery and low birth weight.

A. Assess for orthostatic hypotension B. Monitor fetal heart rate continuously C. Encourage oral fluid intake D. Administer oxygen via nasal cannula

Correct Answer is B

Explanation

The correct answer is choice B. Monitor fetal heart rate continuously.This is because hydralazine is a vasodilator that lowers blood pressure and may cause tachycardia.Tachycardia can affect the fetal heart rate and oxygenation, so continuous monitoring is essential to detect any signs of fetal distress.

Choice A is wrong because hydralazine does not cause orthostatic hypotension, but rather a reflex increase in heart rate and cardiac output.

Orthostatic hypotension is more likely to occur with other antihypertensive drugs such as alpha-blockers or diuretics.

Choice C is wrong because encouraging oral fluid intake may worsen the fluid retention and edema that are common in preeclampsia.Fluid intake should be restricted to avoid pulmonary edema and cerebral edema.

Choice D is wrong because administering oxygen via nasal cannula is not a priority intervention for a woman with severe preeclampsia who is receiving hydralazine IV.Oxygen therapy may be indicated if the woman develops signs of hypoxia, such as dyspnea, cyanosis, or low oxygen saturation.However, oxygen therapy should be used with caution as it may increase oxidative stress and placental vasoconstriction.

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What is the most common cause of death in women with eclampsia.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following factors increases a woman’s risk for developing gestational hypertension.

Correct Answer is D

Explanation

What is a priority nursing intervention for a woman with severe preeclampsia who is receiving hydralazine IV.

Correct Answer is B

Explanation

A nurse is administering nifedipine to a client with gestational hypertension as prescribed by the provider. Which of the following actions would the nurse take to ensure safe administration of this medication?

A nurse is caring for a client with gestational hypertension who is at risk for developing preeclampsia. Which of the following interventions should the nurse implement to prevent this complication? (Select all that apply.).

A nurse is caring for a client with gestational hypertension who has been prescribed labetalol (Normodyne) to control blood pressure during pregnancy. Which of the following statements by the client indicates an understanding of the medication?

A nurse is reviewing the risk factors for gestational hypertension with a group of pregnant clients at a prenatal clinic. Which of the following factors should the nurse include? (Select all that apply.).

A nurse is caring for a client who has severe preeclampsia and is receiving hydralazine IV bolus for blood pressure management. Which of the following adverse effects should the nurse monitor for? (Select all that apply.)

What is the most common cause of death in women with eclampsia.

A nurse is reviewing the laboratory results of a client with gestational hypertension who has been diagnosed with HELLP syndrome. Which of the following findings would the nurse expect to see?

Which of the following is a sign or symptom of gestational hypertension?