A nurse is reviewing the electronic health record (EHR) of a client at 36 weeks of gestation.
Which of the following findings should the nurse identify as placing the client at high risk for developing preeclampsia?
BMI of 28.
Age of 24.
Gestational hypertension.
Gravida 3 Para 2.
The Correct Answer is C
Choice A rationale
A BMI of 28 is considered overweight, which can be a risk factor for preeclampsia but is not as strong an indicator as gestational hypertension. BMI alone does not automatically place someone at high risk.
Choice B rationale
Age of 24 is within the typical childbearing age range and is not considered a high-risk factor for preeclampsia. Extremes of maternal age (below 18 or above 35) are more significant risk factors.
Choice C rationale
Gestational hypertension is a significant risk factor for developing preeclampsia. It indicates elevated blood pressure during pregnancy, which can lead to preeclampsia if not managed properly.
Choice D rationale
Gravida 3 Para 2 indicates a woman who has had two previous pregnancies carried to viable gestational age. While multiparity can influence pregnancy outcomes, it is not a direct high-risk factor for preeclampsia like gestational hypertension is. .
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
Heavy lochia alba is an incorrect choice as lochia alba typically occurs after 10 days postpartum and is characterized by a whitish or yellowish discharge, not red.
Choice B rationale
Heavy lochia rubra is an incorrect choice because lochia rubra is characterized by bright red bleeding but heavy lochia would involve saturation of the pad within an hour, which is not the case here.
Choice C rationale
Moderate lochia serosa is incorrect because lochia serosa is typically pink or brown and occurs from approximately day 4 to day 10 postpartum, not red.
Choice D rationale
Scant lochia rubra is correct as the client is 3 days postpartum with red lochia measuring 2 cm on the pad, which indicates a small amount of bleeding consistent with scant lochia rubra.
Correct Answer is B
Explanation
Choice A rationale
Gestational hypertension is diagnosed when high blood pressure develops after 20 weeks of pregnancy without other symptoms of preeclampsia, such as proteinuria or end-organ dysfunction.
Choice B rationale
Preeclampsia with severe features includes high blood pressure, proteinuria, and symptoms like blurred vision and headaches. These indicate severe disease, which can endanger both the mother and the fetus if left untreated.
Choice C rationale
Preeclampsia without severe features involves high blood pressure and proteinuria but without the additional severe symptoms like blurred vision and headache.
Choice D rationale
Chronic hypertension refers to high blood pressure that was present before pregnancy or diagnosed before 20 weeks of gestation. It does not typically present with acute symptoms like blurred vision and headache that develop suddenly.
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