A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?
Blood pressure 160/115
Anasarca
Proteinuria 3+
Deep tendon reflexes
The Correct Answer is D
a. This is a sign of severe preeclampsia.
b. This is a sign of severe preeclampsia.
c. This is a sign of severe preeclampsia.
d. Deep tendon reflexes are not affected by preeclampsia, which is a hypertensive disorder of pregnancy characterized by high blood pressure, proteinuria, and edema.
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Related Questions
Correct Answer is C
Explanation
a. This is not the correct intervention for a prolapsed umbilical cord.
b. This is not the correct intervention for a prolapsed umbilical cord.
c. This is the correct intervention for a prolapsed umbilical cord as it helps relieve pressure on the cord and improve fetal oxygenation.
d. This may be necessary if other interventions are not successful, but it is not the initial priority.
Correct Answer is A
Explanation
a. Sleeping on the left side (lateral) is recommended during pregnancy to improve circulation and prevent dizziness.
b. This is not a practical or safe solution to prevent dizziness.
c. This may not be effective in preventing dizziness, and it is not recommended to elevate the head during sleep in late pregnancy.
d. Elevating the legs may not be effective in preventing dizziness, and it is not recommended during sleep in late pregnancy.
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