Background: Pre-eclampsia remains a leading cause of maternal and perinatal morbidity and mortality worldwide, with a disproportionately high burden in low- and middle-income countries. Nurses are often the first healthcare providers to encounter pregnant women in obstetric emergency settings, making their knowledge of pre-eclampsia management critical for timely intervention and prevention of complications.Objective: To assess nurses’ knowledge regarding the management of pre-eclampsia at Rangpur Community Medical College Hospital, Rangpur, Bangladesh.Methods: A descriptive cross-sectional study was conducted among 50 senior staff nurses working in the Gynaecology, Obstetrics, Labour, and CCU/ICU wards from January to June 2026. A purposive sampling technique was employed, and data were collected us-ing a self-administered structured questionnaire comprising 20 knowledge-related items. Knowledge levels were categorized as high (16–20), moderate (10–15), and low (0–9). Data were analyzed using SPSS version 20, with descriptive statistics and Chi-square tests applied.Results: The majority of respondents were aged 26–30 years (n=9 at age 26), female (80.0%), married (68.0%), and from rural areas (78.0%). Most were Muslim (90.0%), held a B.Sc. in Nursing (60.0%), and worked in the Obstetrics ward (38.0%). Overall, 50.0% demonstrated high knowledge, 46.0% moderate knowledge, and 4.0% low knowl-edge. High knowledge was observed in identifying labetalol as first-line antihypertensive (98.0%), 24-hour urine protein as the most indicative diagnostic test (100%), and ensuring airway patency during seizures (84.0%). However, significant gaps were identified: only 22.0% correctly identified seizure prevention as the goal of magnesium sulfate therapy, and only 16.0% knew calcium gluconate as the antidote for magnesium toxicity. Chi-square analysis revealed a statistically significant association between working department andknowledge level (χ2 = 22.159, df=6, p = .001), but no significant association between academic qualification and knowledge level (χ2 = 3.004, df=2, p = .223).Conclusion: While the majority of nurses demonstrated satisfactory overall knowledge, critical gaps exist regarding magnesium sulfate therapy and toxicity management. Targeted educational interventions and continuous professional development are urgently needed to strengthen nurses’ competence in pre-eclampsia management.

Background: Fluid and electrolyte imbalances are common in hospitalised patients, and safe management depends heavily on nurses’ knowledge. Data on this topic from Bangladeshi hospitals are limited.Objective: To assess nurses’ knowledge regarding the management of fluid and electrolyte imbalance and its association with educational qualification and working department at Rangpur Community Medical College Hospital, Rangpur.Methods: A descriptive cross-sectional study was conducted from January to June 2026 among 50 nurses working in the Medicine and Emergency wards. Data were collected using a structured questionnaire of 25 knowledge items (score 0–25; low ≤12, moderate 13–18, high ≥19). Data were analysed in SPSS version 27 using descriptive statistics and the Pearson chi-square test.Results: Most respondents were female (68.0%) and aged 26–30 years (52.0%); 52.0% held a diploma and 48.0% a B.Sc. in nursing. Knowledge was low in 30.0%, moderate in 50.0% and high in 20.0% of nurses. Sodium as the main electrolyte of fluid balance (76.0%) and the intake–output chart (76.0%) were most often answered correctly, whereas only 14.0% knew that sudden weight gain should not be ignored, 18.0% that fluid restriction is not appropriate for all dehydrated patients, and 24.0% that heart failure causes fluid excess. High knowledge was found in 33.3% of B.Sc. versus 7.7% of diploma nurses (χ² = 8.974, df = 2, p = 0.011); working department was not associated with knowledge (p = 0.189).Conclusion: Only one in five nurses had a high level of knowledge, with specific misconceptions about fluid excess, fluid restriction and weight monitoring. Structured continuing education and standardised ward protocols, particularly for diploma-prepared nurses, are recommended.