The nurse is assessing a pregnant woman who is in her third trimester and documents the following data: weight gain: 1 lb/wk during 2nd and 3rd trimesters, 2+ proteinuria (0
3 g/L in 2-hour urine), BP: 150/95 mm Hg, edema in fingers, face, legs, feet, and hyperreflexia—no clonus. What condition would the nurse suspect based on these data? A) Mild preeclampsia
B) Severe preeclampsia
C) Eclampsia
D) Normal pregnancy values
A
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These are symptoms of mild preeclampsia. Severe preeclampsia includes 3+ or 4+ proteinuria, abnormally small amount of urine secretion, BP ³ 160 mm Hg systolic or ³110 mm Hg diastolic or elevation of ³30 mm Hg; severe, unremitting frontal or occipital headache; nausea and persistent vomiting; abdominal pain; epigastric pain; visual disturbances; and localized arterial spasms of retina. These symptoms plus very high blood pressure (>170/110), seizures, and coma may also occur with eclampsia as well as maximum urine albumin level with scanty urine output.
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