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Management of Care

Stage 6 — Evaluate outcomes. Review the stabilization and postpartum trend and answer both questions.

Trend

Choose your responses, then check the answer.

TimeData
Before interventionBP 164/110; RR 10; reflexes absent; urine 15 mL/hour; severe headache
30 minutesBP 148/94; RR 16; reflexes 1+; urine 30 mL/hour; headache improving
2 hours postpartumBP 142/90; RR 16; reflexes 2+; urine 45 mL/hour; platelets and liver enzymes stable
6 hours postpartumAlert; no visual symptoms or right-upper-quadrant pain; bleeding within expected range

Q1. Which interpretation is best supported by the trend?

Q2. Which handoff plan is most appropriate?

Explanation
Improving respiratory rate, reflexes, urine output, blood pressure, symptoms, and laboratory values show response. Preeclampsia risk persists postpartum, so handoff must continue blood-pressure, neurologic, respiratory, renal, bleeding, and laboratory surveillance with clear escalation cues.
Next question on this topicA nurse is adopting the I-PASS structured handoff tool for end-of-shift report. Which elem…
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