HESI Case Study Preeclampsia Ashley
Cash
1. In reviewing Ashley's history, the RN is correct in concluding that Jennie is in
jeopardy of developing a hypertensive disorder because of her age (15). Which other
factor(s) add to Ashelys risk of developing preeclampsia? (Select all) Ans- -Familial
history
-Preexisting medical or genetic condition, such as Factor V Leiden
-Nulliparity
2. To accurately assess this client's condition, what information from the prenatal record
is most important for the RN to obtain? Ans- Prenatal blood pressure reading
3. What is the pathophysiology responsible for Ashely's complaint of a pounding
headache and the elevated DTRs? Ans- cerebral edema
4. Ashely's sister is concerned about the edema in her sister's face and hands. She
asks the RN if the (HCP) will prescribe some of "those water pills" (diuretics) to help get
rid of the excess fluid. Which response by the RN is correct? Ans- "Let me explain to
you about the effect of diuretics on pregnancy.
5. After the RN establishes IV placement, she collects a bag of D5LR for the oxytocin,
which is available as 20 units in 1000mL D5LR. The order from the HCP is oxytocin
2mU/min to augment labor. Calculate the drip rate for the oxytocin. (Whole number)
Ans- 6
1/1000 x 2mu/1hr=
2000/20000=
0.10 x 60 min=
6mL/hr
6. While the RN is awaiting the lab results to determin if Ashely has elevatioin in liver
function, diminished kidney function, or altered coagulopathies, which question should
the RN ask Ashely? (Select all) Ans- -"Do you have a Dizziness?
-Do you have blurry vision?"
-"Do you have abdominal pain"
-"Do you have shortness of breath or chest discomfort?"
7. Which technique should the RN use when evaluating Ashely's blood pressure while
Ashely is on bedrest? Ans- Have Ashely lie in a lateral position and take the blood
pressure on the dependent arm
