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Fetal Complications
Fetal Complications ( 5 Questions)
A nurse is caring for a client who is 32 weeks pregnant and has been diagnosed with mild preeclampsia.
Which of the following interventions should the nurse include in the plan of care? Select all that apply.
Monitoring blood pressure and urine protein daily is a standard intervention for mild preeclampsia to detect any worsening of the condition.
Magnesium sulfate is not prescribed for mild preeclampsia, but for severe preeclampsia or eclampsia to prevent seizures.
Encouraging bedrest in left lateral position can improve uteroplacental perfusion and reduce blood pressure in mild preeclampsia.
Teaching the client to report headache or visual changes can help identify signs of severe preeclampsia or impending eclampsia, which require immediate medical attention.
Restricting fluid intake to 1.5 L per day is not indicated for mild preeclampsia and can cause dehydration and electrolyte imbalance.
The correct answer is choice A, C and D. Here is why:
• Choice A is correct because monitoring blood pressure and urine protein daily is a standard intervention for mild preeclampsia to detect any worsening of the condition.
• Choice B is wrong because magnesium sulfate is not prescribed for mild preeclampsia, but for severe preeclampsia or eclampsia to prevent seizures.
• Choice C is correct because encouraging bedrest in left lateral position can improve uteroplacental perfusion and reduce blood pressure in mild preeclampsia.
• Choice D is correct because teaching the client to report headache or visual changes can help identify signs of severe preeclampsia or impending eclampsia, which require immediate medical attention.
• Choice E is wrong because restricting fluid intake to 1.5 L per day is not indicated for mild preeclampsia and can cause dehydration and electrolyte imbalance.
Normal ranges for blood pressure and urine protein in pregnancy are:
• Blood pressure: less than 140/90 mmHg
• Urine protein: less than 300 mg/24 hours