Okay okay let's see if I can make any sense here from student to student. It seems that maybe prioritizion is the issue here? I know when I started nursing school
I would be so stressed about these things that I would find myself pulling for amy diagnosis that would fit, that I didn't think about the actual components of the problem and what is the most pressing issue that I need to be aware of as a nurse.
The goal for preeclampsia is to get momma as far along or as close to term as we can get her and prevent her from developing eclampsia (seizures). Eclampsia can cause significant fetal harm and possibly death because of insufficient oxygenation. So that is a safety issue that takes priority in this case. Yes, she has high blood pressure but are you sure that her problem is related to fluid deficit .. and if so what makes you think that? Are there medications and non-pharmacological treatments that can help reduce the risk of this woman having a seizure? And what about the fetus ... you've got two patients here so we need to be monitoring them both. So I think if you decided to bring the baby in and the risk for hypoxia related to (vasospasms/seizure/whatever) as evidenced by (signs of more severe preeclampsia .. headache, BP, DTRs, etc). Also, what if she has a seizure - what would have to happen then? ... hmm premature delivery ... C-section complications ... ??
And lets think about diabetes here too and how that can complicate preeclampsia as well as the baby when it's born. What signs will the baby have from having a diabetic mother .. what are the S/S of hypoglycemia in baby and momma.
I know it's a ramble but I hope it helps. This stuff can be very fun and fulfilling if done thoroughly and thoughtfully. You'll be thankful one day when you see it in real life and think "I know about this!"