A nurse is providing discharge instructions to a client who had pre-eclampsia and delivered a healthy baby.

Which statement by the client indicates a need for further teaching?

“I will monitor my blood pressure at home for the next few weeks.”

“I will report any headache, vision changes, or abdominal pain to my doctor.”

“I will resume my normal activities as soon as I get home.”

“I will continue to take my prenatal vitamins and iron supplements.”

Answer and Explanation

The Correct Answer is C

The client should not resume normal activities as soon as she gets home because she is still at risk for complications from preeclampsia. She should rest as directed by her healthcare provider and avoid strenuous activities that may increase her blood pressure.

Choice A is wrong because monitoring blood pressure at home is a recommended practice for clients who had preeclampsia. It can help detect any signs of worsening hypertension or organ damage.

Choice B is wrong because reporting any headache, vision changes, or abdominal pain to the doctor is a crucial step to prevent serious complications from preeclampsia. These symptoms may indicate damage to the brain, eyes, or liver and require immediate medical attention.

Choice D is wrong because continuing to take prenatal vitamins and iron supplements is beneficial for the client’s recovery and health. Prenatal vitamins can provide essential nutrients that may be lacking in the diet, and iron supplements can prevent or treat anemia that may result from blood loss during delivery.

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

Explanation

The correct answer is choice A, B, D and E. These are all signs of severe preeclampsia that indicate organ damage and require immediate medical attention.According to Mayo Clinic, preeclampsia is a complication of pregnancy that causes high blood pressure, protein in the urine, or other signs of organ damage after 20 weeks of gestation.

Choice A is correct because epigastric pain can indicate liver damage or bleeding in the abdomen due to preeclampsia.

Choice B is correct because blurred vision or light sensitivity can indicate brain damage or increased pressure in the skull due to preeclampsia.

Choice C is wrong because facial edema is a common symptom of normal pregnancy and does not necessarily indicate preeclampsia.

Choice D is correct because hyperreflexia can indicate nervous system damage or increased pressure in the skull due to preeclampsia.

Choice E is correct because oliguria can indicate kidney damage or decreased blood flow to the kidneys due to preeclampsia.

Complications In Pregnancy Part II: Hypertensive Disorders Of Pregnancy And Vaginal Bleeding

A. Sudden weight gain B. Swelling of the face and hands C. Epigastric pain D. Decreased fetal movement E. Vaginal bleeding

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

Explanation

The correct answer is choice C and D.Epigastric pain and decreased fetal movement are signs of severe pre-eclampsia that indicate damage to the liver and placenta respectively.These symptoms should be reported to the health care provider immediately as they may lead to serious complications such as eclampsia, HELLP syndrome, placental abruption or fetal growth restriction.

Choice A is wrong because sudden weight gain is a common symptom of mild pre-eclampsia that does not necessarily require immediate attention.However, it should be monitored regularly along with blood pressure and urine protein levels.

Choice B is wrong because swelling of the face and hands is also a common symptom of mild pre-eclampsia that does not indicate severe organ damage.It may be caused by fluid retention or edema.

Choice E is wrong because vaginal bleeding is not a typical symptom of pre-eclampsia.It may be a sign of other pregnancy complications such as placenta previa, placental abruption or cervical infection.

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A nurse is providing discharge instructions to a client who had pre-eclampsia and delivered a healthy baby. Which statement by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(Select all that apply) A nurse is assessing a client who is 32 weeks pregnant and has a diagnosis of severe preeclampsia. Which of the following findings should the nurse report to the provider immediately?

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

Explanation

A nurse is educating a client with mild pre-eclampsia about the signs and symptoms that she should report to her health care provider. Which of the following should the nurse include? (Select all that apply.)

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

Explanation

A nurse is reviewing the laboratory results of a client with severe pre-eclampsia. Which of the following results would indicate hepatic involvement? (Select all that apply.)

A nurse is caring for a client with severe pre-eclampsia who is receiving magnesium sulfate. Which of the following findings would indicate magnesium toxicity and require immediate intervention?

A nurse is assessing a client with pre-eclampsia who is receiving oxytocin for labor induction. Which finding would alert the nurse to suspect that the client is developing HELLP syndrome?

A nurse is providing discharge teaching to a client who had preeclampsia and delivered a healthy baby at 38 weeks of gestation. Which of the following instructions should the nurse include in the teaching?

A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate infusion. Which of the following assessments is most important for the nurse to monitor?

A client who is 36 weeks pregnant is admitted to the hospital with a diagnosis of eclampsia. She has a history of chronic hypertension and gestational diabetes. The nurse anticipates that the client will receive which of the following medications to prevent seizures?

A nurse is caring for a client with mild pre-eclampsia who has a blood pressure of 150/95 mmHg, proteinuria of 400 mg/24 hours, and edema of the face and hands. Which intervention is the priority for this client?

A nurse is preparing to administer hydralazine to a client with severe pre-eclampsia who has a blood pressure of 170/110 mmHg. What is the expected outcome of this medication?

A nurse is providing discharge instructions to a client who had pre-eclampsia and delivered a healthy baby.

Which statement by the client indicates a need for further teaching?