The nurse is admitting a client to the labor and delivery unit. While obtaining the assessment data, the client informs the nurse she has had high blood pressure since week 22 of this pregnancy. Upon assessment, the nurse finds 2+ edema. The client relates that she has an occasional headache. Before the nurse leaves the room, the client begins to have a seizure. What pregnancy disorder is this
client experiencing?
1. HELLP
2. Preeclampsia
3. Eclampsia
4. Anemia
3
Rationale 1:HELLP is a type of severe preeclampsia.
Rationale 2:The client has been diagnosed with high blood pressure, which is eclampsia.
Rationale 3:Eclampsia is high blood pressure during pregnancy. Eclampsia is likely to occurbetween the 20th week of gestation to at least 1 week following delivery of the baby.
Rationale 4:Anemia can occur in pregnancy but does not lead to high blood pressure or 2+ edema.
Global Rationale: Preeclampsia and eclampsia are severe hypertensive disorders of pregnancy characterized by seizures, coma, and perinatal mortality. Eclampsia is likely to occur between the 20th week of gestation to at least 1 week following delivery of the baby. HELLP or anemiaarenot known to cause seizures in pregnant women.
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