A nurse is caring for a client who is diagnosed with gestational hypertension at 28 weeks of gestation.
Which of the following findings should alert the nurse to the possibility of preeclampsia? (Select all that apply.).
Headache
Proteinuria
Epigastric pain
Polyuria
Hyperreflexia
Correct Answer : A,B,C,E
The correct answer is choice A, B, C and E. These are all possible symptoms of preeclampsia, a condition that can occur in the second half of pregnancy and cause high blood pressure, proteinuria and organ damage.
Preeclampsia can be dangerous for both the mother and the baby if not treated promptly.
Choice D is wrong because polyuria (increased urination) is not a symptom of preeclampsia. In fact, some women with preeclampsia may have reduced urine output due to kidney damage.
Normal ranges for blood pressure during pregnancy are below 140/90 mmHg. Normal ranges for protein in urine are below 300 mg per 24 hours. Normal ranges for reflexes are 1+ to 2+ on a scale of 0 to 4.
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Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
The correct answer is choice A, B, C and E.These are all possible symptoms of preeclampsia, a condition that can occur in the second half of pregnancy and cause high blood pressure, proteinuria and organ damage.
Preeclampsia can be dangerous for both the mother and the baby if not treated promptly.
Choice D is wrong because polyuria (increased urination) is not a symptom of preeclampsia.In fact, some women with preeclampsia may have reduced urine output due to kidney damage.
Normal ranges for blood pressure during pregnancy are below 140/90 mmHg.Normal ranges for protein in urine are below 300 mg per 24 hours.Normal ranges for reflexes are 1+ to 2+ on a scale of 0 to 4.
Correct Answer is A
Explanation
The correct answer is choice A. Respiratory rate of 10/min.This indicates that the client is experiencingmagnesium toxicity, which can causemuscle weakness,lethargy, andrespiratory depression.
Magnesium sulfate is a medication used to prevent seizures in clients with eclampsia, but it can also have adverse effects if the dose is too high or the kidney function is impaired.
Choice B. Urine output of 40 mL/hr is wrong because this is within the normal range for urine output.
The minimum urine output should be at least 30 mL/hr.
Choice C. Serum magnesium level of 6 mg/dL is wrong because this is within the normal range for serum magnesium.The normal range is 1.7–2.3 mg/dL.
Choice D. Patellar reflex 2+ is wrong because this is a normal finding for deep tendon reflexes.
A decreased or absent patellar reflex could indicate magnesium toxicity, as magnesium sulfate
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