Author Question: A primiparous woman has been admitted at 35 weeks' gestation and diagnosed with HELLP syndrome. ... (Read 78 times)

karen · **on:** Jun 28, 2018

A primiparous woman has been admitted at 35 weeks' gestation and diagnosed with HELLP syndrome. Which of the following laboratory changes is consistent with this diagnosis?

a. Hematocrit dropped to 28.
b. Platelets increased to 300,000 cells/mm3.
c. Red blood cells increased to 5.1 million cells/mm3.
d. Sodium dropped to 132 mEq/dL.

Question 2

A type 1 diabetic patient has repeatedly experienced elevated serum glucose levels throughout her pregnancy. Which of the following complications of pregnancy would the nurse expect to see?

a. Postpartum hemorrhage
b. Neonatal hyperglycemia
c. Postpartum oliguria
d. Neonatal macrosomia

makaylafy · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: a
Feedback
a. The nurse would expect to see a drop in the hematocrit: The H in HELLP stands for hemolysis.
b. The nurse would expect to see low platelets.
c. The nurse would expect to see hemolysis.
d. The sodium is usually unaffected in HELLP syndrome.

Answer to Question 2

ANS: d
Feedback
a. The patient is not especially high risk for a postpartum hemorrhage.
b. The nurse would expect to see neonatal hypoglycemia, not hyperglycemia.
c. The nurse would expect to see postpartum polyuria.
d. The nurse would expect to see neonatal macrosomia.