Page 705 - Saunders Comprehensive Review For NCLEX-RN

loss has occurred

Table 22-1

Classification of Hypertensive Stages of Pregnancy

From The American College of Obstetricians and Gynecologists, May 2018 at:
https://www.acog.org/Patients/FAQs/Preeclampsia-and-High-Blood-Pressure-
During-Pregnancy

Table 22-2

Assessment Findings in Preeclampsia
Parameter Evaluated Preeclampsia Preeclampsia with Severe Features
Blood pressure Greater than or equal to 140 mm Hg systolic or Persistent elevation and greater than
greater than or equal to 90 mm Hg diastolic on or equal to 160 mm Hg systolic or
two occasions at least 4 hours apart after 20 greater than or equal to 110 mm Hg
weeks of gestation in a woman with a previously on 2 occasions at least 4 hours apart
normal blood pressure. while on bedrest
Proteinuria Less than or equal to 0.3 g in 24 hr, less than or Greater than or equal to 5 g in 24 hr,
Note: no longer used as a equal to 1 + on dipstick, may be normal greater than or equal to 3 + on
diagnostic measure dipstick two times
Reflexes May be normal Hyperreflexia
Changes in mentation Transient or absent May be present
Placental perfusion Somewhat reduced Decreased with possible abnormal
FHR
Creatinine, serum (renal May be normal Elevated (> 1.0 mg/dL [> 76.3
function) mcmol/L])
Protein/creatinine ratio 0.3 mg/dL (> 22.89 mcmol/L) > 0.3 mg/dL (> 22.89 mcmol/L)
Platelets May be decreased Decreased (< 100,000 mm 3 [< 100 ×
10 9/L])
Liver enzymes (alanine Normal or minimal increase in levels Elevated levels (double or greater)
aminotransferase or aspartate
aminotransferase)
Uric acid May be normal > 5.5 mg/dL (330 mcmol/L)
Urine output Normal Oliguria common, often
< 500 mL/day
Severe, unrelenting headache Absent Often present, persistent
not attributable to other
cause; mental confusion
(cerebral edema)

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