During a woman's 34th week of pregnancy, she is told that she has preeclampsia. The nurse knows which statement concerning preeclampsia is true?
a. Preeclampsia has little effect on the fetus.
b. Edema is one of the main indications of preeclampsia. c.
Eclampsia only occurs before delivery of the baby.
d. Untreated preeclampsia may contribute to restriction of fetal growth.
ANS: D
Untreated preeclampsia may progress to eclampsia, which is manifested by generalized tonic-clonic seizures. Eclampsia may develop as late as 10 days postpartum. Before the syndrome becomes clinically manifested, it is affecting the placenta through vasospasm and a series of small infarctions. The placenta's capacity to deliver oxygen and nutrients may be seriously diminished, and fetal growth may be restricted. Edema is common in pregnancy and is not an indicator of preeclampsia.
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