RUHS, Jaipur, M.Sc Nursing Entrance Exam-2019
Obstetrics and Midwifery Nursing
Easy

What is the full form of HELLP syndrome?

Appeared in: RUHS, Jaipur, M.Sc Nursing Entrance Exam-2019

Explanation

  • HELLP syndrome is a critical obstetric condition characterized by a specific triad of laboratory abnormalities.
  • The acronym HELLP stands for Hemolysis, Elevated Liver enzymes, and Low Platelet count.
  • Hemolysis refers to the breakdown of red blood cells.
  • Elevated Liver enzymes (such as AST and ALT) indicate liver cell injury.
  • Low Platelet count (thrombocytopenia) impairs the blood's ability to clot.

Why Other Options Were Wrong

  • Option A: This option is incorrect. 'H' in HELLP stands for Hemolysis, not Hemoglobinuria (presence of hemoglobin in urine). 'EL' stands for Elevated Liver enzymes, not elevated leukocytes (white blood cells).
  • Option B: This option incorrectly identifies 'EL' as elevated lymphocytes. Lymphocytes are a type of white blood cell, whereas HELLP syndrome involves liver enzymes.
  • Option C: This option incorrectly identifies 'EL' as elevated lipase. While the pancreas can be affected in severe preeclampsia, elevated liver enzymes are the defining feature of HELLP syndrome, not lipase.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: Knowing Full form and components of HELLP syndrome helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
  • HELLP syndrome is a nursing emergency requiring rapid assessment, intervention, and collaboration with the medical team.
  • Nurses must monitor for signs of worsening condition, such as rising blood pressure, severe headache, visual disturbances, epigastric pain, and signs of bleeding.
  • The definitive treatment is delivery. Nursing care focuses on stabilizing the mother, preparing for delivery (often via emergency cesarean section), and managing potential complications like seizures (with magnesium sulfate) and hemorrhage.
How to Approach the Question
  • This is a factual recall question based on an acronym.
  • First, identify the core term in the question, which is 'HELLP syndrome'.
  • Recall or deduce the meaning of each letter in the acronym.
  • H = Hemolysis
  • EL = Elevated Liver enzymes
  • LP = Low Platelets
Concept Tested & Keywords
  • Concept Tested: Full form and components of HELLP syndrome
  • Stem keywords: HELLP syndrome, full form
  • Lead-in keywords: What is

Question ID

qTkY0Yr6d9oAW20R7N6OS

Reference Book

E6 Obstetrics Williams p. 9-24

E6 Medicine Harrison 22e Part 2 p. 351-353

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