Which intrapartal assessment should be avoided when caring for a woman with HELLP syndrome?
a. Auscultation of the heart and lungs
b. Abdominal palpation
c. Checking deep tendon reflexes
d. Venous sample of blood
B
Palpation of the abdomen and liver could result in a sudden increase in intraabdominal pres-sure, leading to the 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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