Medical-surgical Nursing Demystified

(Sean Pound) #1

CHAPTER 14 Women’s Health^527



  • Administer RhoGAM.

  • Explain Rh status to the mother.


Preeclampsia and Eclampsia


Preeclampsia is a condition that women may get in the latter half of pregnancy. It
is pregnancy-induced hypertension and more often occurs in a first pregnancy.
If preeclampsia is left untreated, eclampsia (which is severe) will result.


WHAT WENT WRONG?


The etiology of preeclampsia and eclampsia is unknown. Pre-pregnant hyper-
tension, obesity, and poor nutrition may be contributing factors. First-time mothers
have a greater risk of preeclampsia, as do women with a family history of the
condition.


PROGNOSIS


Preeclampsia can cause a small baby, premature birth, and learning disabilities.
Untreated eclampsia can lead to seizures, coma, and even death of the mother
and baby.


HALLMARK SIGNS AND SYMPTOMS



  • Preeclampsia (may be asymptomatic):

    • BP > 140/90

    • Proteinuria (presence of excess serum protein in the urine) >300 mg / 24
      hours

    • Elevated creatinine

    • Headache

    • Edema

    • Pulmonary edema

    • Hemolysis

    • Rapid weight gain




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