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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