Asked by Kymmollotkis Mason on Jul 03, 2024
Verified
Dalia, a client in the middle of her third trimester of pregnancy, begins to complain of epigastric pain and nausea and vomiting. A blood panel reveals increased liver enzyme levels and a decreased platelet count. Which condition should the nurse suspect most in Dalia?
A) Polyhydramnios
B) hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome
C) Gestational trophoblastic disease
D) Disseminated intravascular coagulation
Hemolysis
The destruction of red blood cells leading to the release of hemoglobin into the blood plasma.
Elevated Liver Enzymes
An indication of liver inflammation or damage, typically detected through blood tests showing higher levels of enzymes released by the liver.
Low Platelets
A condition known as thrombocytopenia, where the blood has an abnormally low count of platelets, affecting clotting.
- Ascertain conditions connected with particular pregnancy symptoms and results from laboratory analyses.
- Identify the causes and risks associated with specific maternal and fetal conditions during pregnancy.
Verified Answer
AA
Althea AbalosJul 04, 2024
Final Answer :
B
Explanation :
Dalia's symptoms and lab findings of epigastric pain, nausea, vomiting, increased liver enzyme levels, and decreased platelet count are indicative of HELLP syndrome. This condition is a severe form of preeclampsia that can occur during pregnancy, characterized by hemolysis, elevated liver enzymes, and low platelet count.
Learning Objectives
- Ascertain conditions connected with particular pregnancy symptoms and results from laboratory analyses.
- Identify the causes and risks associated with specific maternal and fetal conditions during pregnancy.