Question

A primigravida a 40-weeks’ gestation with preeclampsia is admitted after having a seizure in the hot tub at a midwife’s birthing center. Based on documentation in the medical record, which action should the nurse implement? (Click on each chart tab for additional information. Please be sureis scrollis the bot ism right corner of each tabis view all information contained in the client’s medical record.)

•Continueis moni isr the client’s blood pressure hourly.
•Inform the healthcare provider of CBC results
•Update the nursery staff on the client’s status
•Give a dose of calcium gluconate per preeclampsia pro iscol.

Answer 1

For a primigravida at 40-weeks' gestation with preeclampsia who has had a seizure, the nurse should monitor blood pressure, update the healthcare provider, and follow preeclampsia protocol, possibly including administration of calcium gluconate if magnesium sulfate toxicity is suspected.

Step-by-step explanation:

In the case of a primigravida at 40-weeks' gestation with preeclampsia who has had a seizure, the nurse's priority is to stabilize the mother and the unborn child. The seizure suggests that the preeclampsia may have progressed to eclampsia, a severe complication. The most urgent actions are to ensure that the mother is in a safe environment to prevent injury from further seizures, to monitor the blood pressure closely, to update the healthcare provider on the client's status including lab results, and to follow preeclampsia protocol which may include the administration of antihypertensive medications and seizure prophylaxis such as magnesium sulfate.

Calcium gluconate could be appropriate if magnesium sulfate toxicity is suspected. This information is based on clinical practices in obstetrics and should always be aligned with the protocols of the healthcare institution and the directives of the healthcare provider.