Practice Question
A nurse is reviewing the electronic health record (EHR) of a client at 36 weeks of gestation. Which of the following findings should the nurse identify as placing the client at high risk for developing preeclampsia?
Answer Choices:
Correct Answer:
Gestational hypertension
Rationale:
🟣 Gestational hypertension is one of the strongest risk factors for developing preeclampsia, a hypertensive disorder of pregnancy characterized by new-onset hypertension with proteinuria or signs of organ dysfunction after 20 weeks’ gestation.
🟣 Clients who already have elevated blood pressure are at higher risk because endothelial dysfunction and abnormal placental perfusion can progress to preeclampsia.
🟣 Other known risk factors include chronic hypertension, diabetes, multiple gestation, obesity (BMI ≥30), advanced maternal age (>35), and a history of preeclampsia in previous pregnancies.
🟣 Early recognition and monitoring are crucial to prevent severe complications such as eclampsia, HELLP syndrome, and fetal growth restriction.
🟣 The nurse should prioritize blood pressure monitoring, urine protein assessment, and education about warning signs like headaches, visual changes, and right upper quadrant pain.
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This question is from Custom N105 Cumulative Final CAD July 2025 which contains 50 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN Custom Exam(s)
- Answer Choices: 4