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?

Report any headache that is not relieved by acetaminophen

Expect some vaginal bleeding for up to 6 weeks postpartum

Resume sexual activity as soon as you feel comfortable

Drink at least 3 liters of fluid per day to prevent dehydration

Answer and Explanation

The Correct Answer is A

Report any headache that is not relieved by acetaminophen. This is because a headache that persists despite taking pain medication can be a sign of increased blood pressure or brain swelling, which are serious complications of preeclampsia.

Choice B is wrong because some vaginal bleeding for up to 6 weeks postpartum is normal and expected for any woman who has given birth, regardless of whether she had preeclampsia or not.

Choice C is wrong because resuming sexual activity as soon as you feel comfortable is also a normal recommendation for any woman who has given birth, unless there are other medical reasons to avoid it.

Choice D is wrong because drinking at least 3 liters of fluid per day to prevent dehydration is not necessary for a woman who had preeclampsia. In fact, drinking too much fluid can worsen the swelling and fluid retention that are common in preeclampsia.

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Correct Answer is C

Explanation

Magnesium sulfate.Magnesium sulfate is thedrug of choiceto prevent and treat seizures in people with severe preeclampsia and eclampsia.It is an anticonvulsant medication that reduces the risk of eclampsia by 50%.

Choice A is wrong because hydralazine is a blood pressure medication that can lower blood pressure in people with preeclampsia or eclampsia, but it does not prevent seizures.

Choice B is wrong because nifedipine is another blood pressure medication that can lower blood pressure in people with preeclampsia or eclampsia, but it does not prevent seizures.

Choice D is wrong because diazepam is an anticonvulsant medication that was previously used to treat eclamptic seizures, but it has been replaced by magnesium sulfate as the preferred drug due to its better safety and efficacy.Diazepam can also cause sedation and respiratory depression in the mother and the fetus.

Normal ranges for blood pressure are below 140/90 mm Hg, for proteinuria are below 300 mg/24 hours, for platelet count are 150,000 to 450,000 per microliter, for liver enzymes are 7 to 56 units per liter for alanine aminotransferase (ALT) and 10 to 40 units per liter for aspartate aminotransferase (AST), and for magnesium levels are 1.5 to 2.5 mEq/L.

A. Platelet count of 150,000/mm3 B. Serum creatinine of 1.2 mg/dL C. Proteinuria of 1+ on dipstick D. Serum albumin of 3.5 g/dL

Correct Answer is B

Explanation

Serum creatinine of 1.2 mg/dL.This indicates a need for further evaluation because it is above the normal range of 0.6 to 1.1 mg/dL for women and suggests kidney impairment.Preeclampsia can affect the kidneys and other organs.

Choice A is wrong because a platelet count of 150,000/mm3 is within the normal range of 150,000 to 450,000/mm3.

Choice C is wrong because proteinuria of 1+ on dipstick is expected in mild preeclampsia.

Choice D is wrong because serum albumin of 3.5 g/dL is within the normal range of 3.4 to 5.4 g/dL.

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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?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A nurse is reviewing the laboratory results of a client who has mild preeclampsia. Which of the following findings would indicate a need for further evaluation?

Correct Answer is B

Explanation

(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?

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.)

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?

A nurse is assessing a client with severe pre-eclampsia who reports a severe headache and blurred vision. The nurse notes that the client has hyperreflexia with clonus. What is the most likely explanation for these findings?

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 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 preparing to administer hydralazine to a client with pre-eclampsia who has a blood pressure of 180/110 mmHg. What is the rationale for using this medication?

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?