What nursing diagnosis would be the most appropriate for a woman experiencing severe preeclampsia?
a. Risk for injury to the fetus related to uteroplacental insufficiency
b. Risk for eclampsia
c. Risk for deficient fluid volume related to increased sodium retention secondary to administration of MgSO4
d. Risk for increased cardiac output related to use of antihypertensive drugs
ANS: A
Risk for injury to the fetus related to uteroplacental insufficiency is the most appropriate nursing diagnosis for this client scenario. Other diagnoses include Risk to fetus related to preterm birth and abruptio placentae. Eclampsia is a medical, not a nursing, diagnosis. There would be a risk for excess, not deficient, fluid volume related to increased sodium retention. There would be a risk for decreased, not increased, cardiac output related to the use of antihypertensive drugs.
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