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 a major risk factor for preeclampsia, a serious pregnancy complication characterized by new-onset hypertension with proteinuria or signs of organ dysfunction after 20 weeks of gestation.
💠 Women who already have elevated blood pressure are more likely to progress to preeclampsia due to endothelial injury and reduced placental perfusion, which can lead to vasospasm and multi-organ involvement.
💠 Other risk factors include chronic hypertension, diabetes, multiple gestation, obesity (BMI ≥30), nulliparity, and a history of preeclampsia.
💠 The nurse should prioritize frequent blood pressure monitoring, urine protein testing, and education about warning signs such as headache, visual disturbances, and epigastric pain.
💠 Early identification and management are essential to prevent complications such as eclampsia, HELLP syndrome, and fetal growth restriction.
Want to practice more questions like this?
This question is from Examplify W6 NR283 Exam 2 which contains 63 questions.
More Questions from This Exam
What is the primary purpose of the Apgar score when assessing a newborn?
Answer Choices:
The parents of a 2-day-old newborn with jaundice express concern about their baby being placed under a phototherapy light. The mother asks, "Why does my baby need to be under this light, and is it safe?" Which response by the nurse is most appropriate to address the parents' concerns?
Answer Choices:
A pregnant woman with newly diagnosed gestational diabetes asks about her treatment plan. What should the nurse include in the explanation?
Answer Choices:
Why are infants at risk for dehydration?
Answer Choices:
Which statement describes a brain herniation?
Answer Choices:
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Medical-Surgical
- Answer Choices: 4