A nurse is caring for a client with gestational hypertension who is at risk for developing preeclampsia.

Which of the following interventions should the nurse implement to prevent this complication? (Select all that apply.).

Encourage bed rest in a dark and quiet environment

Administer corticosteroids as prescribed

Monitor fetal heart rate and movement

Assess for headache, visual changes and epigastric pain

Provide a diet high in protein and low in carbohydrates

Answer and Explanation

Correct Answer : A,C,D

The correct answer is choice A, C and D. These interventions can help prevent or delay the development of preeclampsia by reducing blood pressure, monitoring fetal well-being and assessing for signs of worsening condition.

Choice B is wrong because corticosteroids are not used to prevent preeclampsia, but to enhance fetal lung maturity in case of preterm delivery.

Choice E is wrong because a diet high in protein and low in carbohydrates is not recommended for gestational hypertension or preeclampsia. A balanced diet with adequate calcium, magnesium and antioxidants is advised.

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Correct Answer is D

Explanation

The correct answer is choice D) Swelling of the face, hands or feet.This is one of the signs and symptoms of gestational hypertension, which is high blood pressure that begins after 20 weeks of pregnancy and goes away after delivery.Gestational hypertension can lead to complications for both the mother and the baby, such as preeclampsia, which is a severe condition that causes protein in the urine and other problems.

Choice A) Severe headache is wrong because it is not a specific sign of gestational hypertension, but it can be a symptom of preeclampsia, which is a possible complication of gestational hypertension.

Choice B) Chest pain is wrong because it is not a common sign of gestational hypertension, but it can be a sign of a serious heart problem or a pulmonary embolism, which is a blood clot in the lungs.Chest pain during pregnancy should be evaluated by a doctor as soon as possible.

Choice C) Nausea or vomiting is wrong because it is not a typical sign of gestational hypertension, but it can be a symptom of preeclampsia or other conditions such as hyperemesis gravidarum, which is severe nausea and vomiting during pregnancy that can lead to dehydration and weight loss.

Normal blood pressure ranges for pregnant women are below 120/80 mm Hg.Gestational hypertension is diagnosed when the blood pressure is greater than or equal to 140/90 mm Hg after 20 weeks of pregnancy.

A. Hemoglobin of 9 g/dL B. Platelets of 90,000/mm3 C. AST of 120 U/L D. LDH of 600 U/L E. WBC of 15,000/mm3

Correct Answer is ["A","B","C","D"]

Explanation

The correct answer is choice A, B, C and D.These choices reflect the laboratory findings that are expected in a client who has HELLP syndrome.HELLP syndrome is a rare pregnancy complication that is a type of preeclampsia and has similar symptoms.It can cause serious blood and liver problems.

Choice A is correct because hemoglobin of 9 g/dL indicates hemolysis, which is the breaking down of red blood cells.The normal range of hemoglobin for pregnant women is 11 to 16 g/dL.

Choice B is correct because platelets of 90,000/mm3 indicate thrombocytopenia, which is a low platelet count.The normal range of platelets for pregnant women is 150,000 to 400,000/mm3.

Choice C is correct because AST of 120 U/L indicates elevated liver enzymes, which reflect liver injury.The normal range of AST for pregnant women is 10 to 40 U/L.

Choice D is correct because LDH of 600 U/L indicates elevated lactate dehydrogenase, which is a marker of hemolysis.The normal range of LDH for pregnant women is 140 to 280 U/L.

Choice E is wrong because WBC of 15,000/mm3 indicates leukocytosis, which is not a feature of HELLP syndrome.The normal range of WBC for pregnant women is 5,000 to 15,000/mm3.

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A nurse is caring for a client with gestational hypertension who is at risk for developing preeclampsia. Which of the following interventions should the nurse implement to prevent this complication? (Select all that apply.).

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Naxlex Comprehensive Predictor Exams

Which of the following is a sign or symptom of gestational hypertension?

Correct Answer is D

Explanation

A nurse is reviewing laboratory results for a client who has HELLP syndrome. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

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A nurse is caring for a client with gestational hypertension who is at risk for developing preeclampsia.

Which of the following interventions should the nurse implement to prevent this complication? (Select all that apply.).