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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

Answer and Explanation

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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Correct Answer is D

Explanation

a. This is an appropriate order for a client with severe preeclampsia to monitor fetal well-being.
b. This is an appropriate order for a client with severe preeclampsia to monitor fluid status.
c. This is an appropriate order for a client with severe preeclampsia to monitor for signs of worsening preeclampsia.
d. This order may not be appropriate for a client with severe preeclampsia who may be at risk for falls or other complications. The nurse should clarify this order with the provider.

A. Not palpable above the symphysis at this time B. 5 cm above the umbilicus C. At the level of the umbilicus D. Slightly above the symphysis pubis

Correct Answer is A

Explanation

a. At 9 weeks of gestation, the uterus is still within the pelvic cavity and not palpable above the symphysis pubis.
b. The fundus is not expected to be palpable 5 cm above the umbilicus until around 20 weeks of gestation.
c. The fundus is not expected to be palpable at the level of the umbilicus until around 20 weeks of gestation.

d. The fundus is not expected to be palpable slightly above the symphysis pubis at 9 weeks of gestation.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders. Which of the following orders requires clarification?

Correct Answer is D

Explanation

A woman is at 9 weeks of gestation. The nurse would expect to palpate the fundus at which level? Select one:

Correct Answer is A

Explanation

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