A nurse is caring for a woman who has been hypertensive since her thirty-fourth week of gestation. Assessment findings include urine protein +3, platelet count 95,000 mm3, and elevated AST and ALT levels
The nurse should suspect the development of which of the following?
a. HELLP syndrome
b. Placenta previa
c. Hyperglycemia
d. Abruptio placentae
ANS: A
Severe preeclampsia and eclampsia have been associated with the HELLP syndrome (hemolysis, elevated liver enzymes, low platelets). In women who exhibit the HELLP syndrome, the onset of seizures may be abrupt. Normal platelet count is 150,000 to 300,000/mm3.
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