Preeclampsia
Structured condition card with NCLEX priority cues and nursing action focus.
OB / Newbornhigh priorityneeds review
Preeclampsia
Etiology / Pathophysiology
- Pregnancy-related hypertensive disorder after 20 weeks with organ involvement risk.
- Vasospasm and endothelial dysfunction reduce organ perfusion and can progress to seizures.
Medications
| Class | Why it matters |
|---|---|
| Magnesium sulfate | Seizure prophylaxis for severe features. |
Nursing actions
- Monitor BP, headache, visual changes, RUQ pain, reflexes, clonus, and urine output.
- Reduce stimulation and implement seizure precautions.
- Monitor magnesium toxicity if magnesium is infusing.
Complications
- Eclampsia
- HELLP
- Stroke
- Placental abruption
- Fetal compromise
NCLEX cues
- Headache, visual spots, RUQ pain are severe warning signs.
- Magnesium toxicity: absent reflexes, slow respirations.
Memory hooks
- Preeclampsia threatens brain, liver, kidneys, placenta.
Labs / Diagnostics
- Trend assessment findings and ordered diagnostics; verify exact values with school source material.
Review notes
- Session-derived study seed. Verify against school materials, ATI/NCLEX review sources, current orders, and facility policy before relying on details.