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 B

Explanation

Methyldopa is a drug that lowers blood pressure by reducing the activity of the sympathetic nervous system.

One of the possible side effects of methyldopa is hypotension, which means abnormally low blood pressure.Hypotension can cause dizziness, fainting, and shock.

Choice A) Bradycardia is wrong because methyldopa does not affect the heart rate directly.Bradycardia means a slow heart rate, which can be caused by other drugs or conditions.

Choice C) Hyperkalemia is wrong because methyldopa does not affect the potassium levels in the blood.Hyperkalemia means high potassium levels, which can be caused by kidney problems or other drugs.

Choice D) Hyperglycemia is wrong because methyldopa does not affect the glucose levels in the blood.Hyperglycemia means high glucose levels, which can be caused by diabetes or other conditions.

Normal ranges for blood pressure are 90/60 mmHg to 120/80 mmHg, for heart rate are 60 to 100 beats per minute, for potassium are 3.5 to 5.0 mmol/L, and for glucose are 70 to 100 mg/dL.

A. Administer the medication over 30 min using an infusion pump B. Place the client in a supine position with a wedge under the right hip C. Monitor the client’s blood pressure every 15 min during the infusion D. Have calcium gluconate available at the bedside as an antidote.

Correct Answer is D

Explanation

The correct answer is choice D. Have calcium gluconate available at the bedside as an antidote.Magnesium sulfate is used to prevent and treat seizures in women with severe preeclampsia or eclampsia.However, it can also cause toxicity and respiratory depression if the serum level is too high.Calcium gluconate is the antidote for magnesium sulfate toxicity and should be readily available at the bedside.

Choice A is wrong because the medication should be administered over 20-30 minutes using an infusion pump.

A shorter infusion time may increase the risk of adverse effects.

Choice B is wrong because the client should be placed in a lateral position to improve uteroplacental perfusion and reduce the risk of aspiration.

Choice C is wrong because the client’s blood pressure should be monitored every 5 minutes during the infusion, not every 15 minutes.

Blood pressure is an indicator of the severity of preeclampsia and the effectiveness of magnesium sulfate therapy.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with gestational hypertension who has been prescribed methyldopa (Aldomet) to control blood pressure during pregnancy. Which of the following side effects should the nurse monitor for?

Correct Answer is B

Explanation

A nurse is preparing to administer an IV loading dose of magnesium sulfate to a client who has preeclampsia with severe features. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

(Select all that apply). A nurse is providing discharge teaching to a client with gestational hypertension who delivered a healthy baby two days ago. Which of the following statements by the client would indicate a need for further teaching?

A nurse is evaluating the effectiveness of magnesium sulfate therapy for a client with severe preeclampsia who is in labor. Which of the following findings would indicate that the therapy is effective?

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

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

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.).

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

Which of the following signs and symptoms may indicate worsening condition or preeclampsia in a client with gestational hypertension?

Which of the following interventions should be included in the plan of care for a client with severe preeclampsia? (Select all that apply.)