Which intrapartal assessment should be avoided when caring for a client with HELLP syndrome?
a. Abdominal palpation
b. Venous sample of blood
c. Checking deep tendon reflexes
d. Auscultation of the heart and lungs
ANS: A
Palpation of the abdomen and liver could result in a sudden increase in intraabdominal pressure, leading to rupture of the subcapsular hematoma. Assessment of heart and lungs is performed on every patient. Checking reflexes is not contraindicated. Venous blood is checked frequently to observe for thrombocytopenia.
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