Watch the Case scenario from Lecturio entitled "Case Study: 19-year-old G2P1 Woman and 34-year-old

G3P2 Woman (Nursing)". Answer the following:

1. What are the risk factors presented by the women in the Case study? Explain your answers.
- Celina is safe from any risk because she only complains about her moderate headache and
denies any possible contractions or bleeding. Patient Samantha, on the other hand, has a
number of risk factors. For starters, her blood pressure readings were 168/114Hg and 152/110
mm Hg. Second, the presence of two or more proteins in the urine indicates that this patient
has proteinuria, as determined by dipstick analysis.

2. Identify the symptoms presented by each client.

CELINE
 Headache
SAMANTHA
 2+proteinuria
 Hypertension (168/114 mm Hg) (152/110 mm Hg).

3. List and describe the diagnostic criteria for the pre-eclamptic clients.
 Kidney function- Serum creatinine > 1.1 mg/dl
 Protein in your urine (proteinuria)
 Impaired liver function- Up to 10% of pregnant women with severe preeclampsia have
impaired liver enzymes. These include increases in alanine and aspartate
aminotransferases by two to threefold.
 Fluid in the lungs (pulmonary edema)- Pulmonary edema is a potentially fatal condition
that is linked to pre-eclampsia. It only accounts for 0.08%. It is more commonly caused
by severe pre-eclampsia, which is associated with pulmonary edema in 2.9% of cases.
 Platelet count 98,000/mm3- Pre-eclampsia is diagnosed by a platelet count of
100,000/uL. It is regarded as a sign of disease and an indication for delivery.

4. What is the classification of each woman’s PIH? Describe each.

 Celina does not have PIH because she has no risk factors for high blood pressure and her
pulse was not identified in her results. She only complains of headaches, which can be
caused by high blood pressure during pregnancy.
 Samantha was diagnosed with PIH after her blood pressure was found to be elevated.
5. What are the clinical features of a magnesium sulfate toxicity?
 Loss of deep tendon reflexes (9.6-12 mg/dL) (> 7 mEq/L)
 Respirations less than 12/minute, shortness of breath, or respiratory arrest.
 Chest pain or Cardiac arrest (24-30mg/dL) (> 25mEq/L).
 A significant drop in pulse or BP.