Question

1. Ellen, a pregnancy woman at 37 weeks of gestation, is admitted to the hospital with a diagnosis of severe preeclampsia.

1. Indicate the signs and symptoms that would have been present to indicate this diagnosis.

2. List three priority nursing diagnoses for Ellen.

3. Specify the precautionary measures that should be taken to protect Ellen and her fetus from injury.

Answer 1

a) .To diagnose the preeclampsia in Ellen there will be a three main classic signs and symptoms which are used to confirm the condition such as

• Ellen would experience increased blood pressure which may be above 140 mm of Hg.
• Ellen may experience sudden weight gain within a month and she will have edema on
  legs.
• In Ellen's lab investigation, especially in urine test, she will be known to have protein urea above
  the level of 300 mg for every day.

From this dominant signs the physician will easily diagnose the Ellen's condition.

B). The three priority Nursing diagnosis for Ellen's condition are;

she will have increased blood pressure so there is nursing diagnosis of ; Risk for decreased cardiac output

She would have the signs of edema, so there will the diagnosis of; Excess fluid volume related

and she would gain more weight during this day so the diagnosis will be; Imbalanced Nutrition.

c). Precaution for Ellen and his baby from injury;

• Treat the Ellen present signs and symptoms and prevent her from developing preeclampsia to the seizure stage, it will further injure the mother and baby.
• Maintain Ellen's diet pattern and teach her what to eat and what not to.
• Ellen, now she is 37th week , it is more nearer to the term so according to the physician advice and the Ellen's health condition it is better to induce labour to prevent complication to the Ellen and his baby.