🤰 Preeclampsia vs Eclampsia: NCLEX Red Flag Signs Every Nurse Must Know
Preeclampsia and eclampsia are critical complications of pregnancy, and they’re NCLEX favorites. You’ll need to recognize the warning signs, monitor lab values, and know when to act fast.
This KOTC visual clarifies everything from mild symptoms to life-threatening seizures — so you’re always prepared.
🧠 Key Differences: Preeclampsia vs Eclampsia
| Feature | Preeclampsia | Eclampsia |
|---|---|---|
| Blood Pressure | ≥140/90 mmHg | Same or higher |
| Proteinuria | Present | Present |
| Headache | Common | Severe |
| Visual Changes | Blurred vision, floaters | May precede seizure |
| Epigastric Pain | Yes | Often severe |
| Seizures | ❌ Absent | ✅ Present |
| Reflexes | Hyperreflexia | Hyperreflexia + Clonus |
⚠️ Lab & Monitoring Must-Knows for NCLEX
Urine Protein: >300 mg in 24 hours
Platelets: <100,000 = severe risk
AST/ALT: ↑ in HELLP syndrome
DTRs (Deep Tendon Reflexes): ↑ = magnesium adjustment needed
Magnesium sulfate level: 4–7 mEq/L therapeutic
💉 Nursing Priorities
Preeclampsia
Monitor BP closely
Daily weights, I/O
Fetal monitoring (NST/BPP)
Evaluate for worsening signs
Eclampsia
Maintain airway during seizure
Administer magnesium sulfate
Prepare for emergency delivery
Pad side rails & turn pt to side
Antidote for Magnesium Toxicity: 🧴 Calcium Gluconate
🩺 NCLEX-Style Question
A 34-week pregnant client has BP 160/110, proteinuria, headache, and DTR 4+. What is the nursing priority?
✅ Answer: Administer magnesium sulfate and initiate seizure precautions.
💡 Mnemonic: “PRE-E”
P – Proteinuria
R – Rising BP
E – Edema (face/hands)
E – Epigastric pain
E – Elevated DTRs
🏁 Final Thoughts
When it comes to preeclampsia and eclampsia, timing saves lives — and points on the NCLEX. This visual and blog make it easy to remember the difference, and act like a nurse under pressure.
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Frequently Asked Questions (FAQs)
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Practice mindfulness techniques, take practice exams under realistic conditions, and maintain a balanced lifestyle.
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