Preeclampsia Nursing Diagnoses help?

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Hello everyone, 

I am a little stuck on developing a nursing diagnoses for my 35 week preeclampsia patient. The patient has elevated BP, AST, ALT, HR, and RR. The patient also reports abdominal pain w/compliant of headache. The nurse attempts to check BP and upon removal of the cuff, the patient has a seizure. 

The only diagnosis I can think make sense would be risk for maternal injury but I'm stuck on where to go from here. 

 

Any help would be greatly appreciated. 

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Specializes in retired LTC.

I may be wrong here - OB nsg study some 45 yrs ago. But I think your pt is no longer PRE-eclamptic.

Someone correct me if I'm wrong.

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