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.)

Hemoglobin of 9 g/dL

Platelets of 90,000/mm3

AST of 120 U/L

LDH of 600 U/L

WBC of 15,000/mm3

Answer and Explanation

Correct Answer : A,B,C,D

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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Correct Answer is D

Explanation

The correct answer is choice D. All of the above.All of these factors increase a woman’s risk for developing gestational hypertension.

Choice A is wrong because nulliparity (having no previous pregnancies) is a risk factor for gestational hypertension.Rates in nulliparous women range from 6% to 17% while rates in multiparous women range from 2% to 4%.

Choice B is wrong because age younger than 20 years is a risk factor for gestational hypertension.Pregnant women more than 40 years or less than 18 years are at risk of gestational hypertension.

Choice C is wrong because history of chronic renal disease is a risk factor for gestational hypertension.High blood pressure can also cause problems during and after delivery, such as preeclampsia, eclampsia, stroke, and placental abruption.

Gestational hypertension is blood pressure greater than or equal to 140/90 that begins during the latter half of pregnancy (typically after 20 weeks) and goes away after childbirth.It can put the mother and her baby at risk for problems during the pregnancy, such as preterm delivery and low birth weight.

A. Severe headache B. Chest pain C. Nausea or vomiting D. Swelling of the face, hands or feet

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.

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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.)

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Naxlex Comprehensive Predictor Exams

Which of the following factors increases a woman’s risk for developing gestational hypertension.

Correct Answer is D

Explanation

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

Correct Answer is D

Explanation

A nurse is caring for a client who has severe preeclampsia and is receiving hydralazine IV bolus for blood pressure management. Which of the following adverse effects should the nurse monitor for? (Select all that apply.)

A nurse is reviewing the risk factors for gestational hypertension with a group of pregnant clients at a prenatal clinic. Which of the following factors should the nurse include? (Select all that apply.).

A nurse is reviewing the laboratory results of a client with gestational hypertension who has been diagnosed with HELLP syndrome. Which of the following findings would the nurse expect to see?

A nurse is caring for a client with gestational hypertension who has been prescribed magnesium sulfate to prevent seizures related to preeclampsia. Which of the following assessments should the nurse prioritize?

A nurse is administering nifedipine to a client with gestational hypertension as prescribed by the provider. Which of the following actions would the nurse take to ensure safe administration of this medication?

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.).

A nurse is preparing to administer an IV loading dose of magnesium sulfate to a client who has preeclampsia with severe features. Which of the following actions should the nurse take?

A nurse is evaluating the effectiveness of magnesium sulfate therapy for a client with severe preeclampsia who is in labor. Which of the following findings would indicate that the therapy is effective?

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.)