HELLP Syndrome
HELLP Syndrome ( 5 Questions)
A nurse is reviewing the discharge instructions for a client who had HELLP syndrome during pregnancy.
Which of the following statements by the client indicates a need for further teaching?
This statement is correct because women who had HELLP syndrome are at risk of developing high blood pressure or preeclampsia after delivery and need to monitor their blood pressure regularly.
This statement is correct because NSAIDs can interfere with platelet function and increase the risk of bleeding, which can be harmful for women who had HELLP syndrome.
This statement indicates a need for further teaching because oral contraceptive pills are not recommended for women who had HELLP syndrome during pregnancy. Oral contraceptive pills can increase the risk of blood clots and high blood pressure, which can be dangerous for women with a history of HELLP syndrome.
Women who had HELLP syndrome should consult their provider about alternative methods of contraception that are safer for them.
This statement is correct because women who had HELLP syndrome are at risk of developing complications such as hemorrhage, infection, liver rupture, or stroke and need to seek medical attention if they notice any signs of bleeding or infection.
“I will resume my oral contraceptive pills as soon as possible.”
This statement indicates a need for further teaching because oral contraceptive pills are not recommended for women who had HELLP syndrome during pregnancy. Oral contraceptive pills can increase the risk of blood clots and high blood pressure, which can be dangerous for women with a history of HELLP syndrome.
Women who had HELLP syndrome should consult their provider about alternative methods of contraception that are safer for them.
The other statements are correct and do not indicate a need for further teaching:
• A. “I will need to have regular blood pressure checks for a few weeks.” This statement is correct because women who had HELLP syndrome are at risk of developing high blood pressure or preeclampsia after delivery and need to monitor their blood pressure regularly.
• B. “I will avoid taking any nonsteroidal anti-inflammatory drugs (NSAIDs).” This statement is correct because NSAIDs can interfere with platelet function and increase the risk of bleeding, which can be harmful for women who had HELLP syndrome.
• D. “I will report any signs of bleeding or infection to my provider.” This statement is correct because women who had HELLP syndrome are at risk of developing complications such as hemorrhage, infection, liver rupture, or stroke and need to seek medical attention if they notice any signs of bleeding or infection.
Normal ranges:
• Blood pressure: less than 140/90 mmHg
• Platelet count: 150,000 to 450,000 per microliter of blood
• Liver enzymes: AST (aspartate aminotransferase) less than 40 U/L; ALT (alanine aminotransferase) less than 40 U/L
• Hemoglobin: 12 to 16 g/dL for women