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.).

Maternal age over 35 years

First pregnancy

Multiple gestation

History of diabetes mellitus

African American race

Answer and Explanation

Correct Answer : A,B,C,E

The correct answer is choice A, B, C and E. These are all risk factors for gestational hypertension according to various sources.

Some possible explanations for each choice are:

• Choice A: Maternal age over 35 years. Older women are more likely to have chronic hypertension, diabetes, or other conditions that increase the risk of gestational hypertension.

• Choice B: First pregnancy. Women who are pregnant for the first time are more likely to develop gestational hypertension than women who have had previous pregnancies.

• Choice C: Multiple gestation. Women who are carrying twins, triplets, or more are more likely to have gestational hypertension because of the increased placental mass and blood volume.

• Choice D: History of diabetes mellitus. This is not a risk factor for gestational hypertension, but it is a risk factor for preeclampsia, which is a more severe form of hypertension that involves proteinuria and organ damage.

Preeclampsia can develop from gestational hypertension or occur independently.

• Choice E: African American race. African American women are more likely to have gestational hypertension than women of other races or ethnicities.

This may be due to genetic, environmental, or social factors that affect blood pressure regulation.

Normal ranges for blood pressure during pregnancy are less than 140/90 mmHg. Gestational hypertension is diagnosed when blood pressure is greater than or equal to 140/90 mmHg after 20 weeks of pregnancy and there is no proteinuria or other signs of preeclampsia. Gestational hypertension usually goes away after delivery, but it can increase the risk of complications for both the mother and the baby.

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

Explanation

The correct answer is choice A and B. Hydralazine is a drug that lowers blood pressure by relaxing the blood vessels.It can cause some side effects such astachycardia(fast heart rate) andheadache.

These are common and may go away during treatment.

However, if they are severe or persistent, the nurse should monitor the client and report to the doctor.

Choice C is wrong because nausea is not a common side effect of hydralazine.

It may be caused by other factors such as pregnancy or infection.

Choice D is wrong because hyperkalemia (high potassium level in the blood) is not a side effect of hydralazine.

It may be caused by other drugs such as angiotensin-converting enzyme inhibitors or potassium-sparing diuretics.

Choice E is wrong because oliguria (low urine output) is not a side effect of hydralazine.

It may be a sign of kidney damage or dehydration.

The nurse should monitor the client’s fluid intake and output and report any changes to the doctor.

A. Administer the medication over 30 min using an infusion pump B. Place the client in a supine position with a wedge under the right hip C. Monitor the client’s blood pressure every 15 min during the infusion D. Have calcium gluconate available at the bedside as an antidote.

Correct Answer is D

Explanation

The correct answer is choice D. Have calcium gluconate available at the bedside as an antidote.Magnesium sulfate is used to prevent and treat seizures in women with severe preeclampsia or eclampsia.However, it can also cause toxicity and respiratory depression if the serum level is too high.Calcium gluconate is the antidote for magnesium sulfate toxicity and should be readily available at the bedside.

Choice A is wrong because the medication should be administered over 20-30 minutes using an infusion pump.

A shorter infusion time may increase the risk of adverse effects.

Choice B is wrong because the client should be placed in a lateral position to improve uteroplacental perfusion and reduce the risk of aspiration.

Choice C is wrong because the client’s blood pressure should be monitored every 5 minutes during the infusion, not every 15 minutes.

Blood pressure is an indicator of the severity of preeclampsia and the effectiveness of magnesium sulfate therapy.

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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.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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.)

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

Explanation

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?

Correct Answer is D

Explanation

Which of the following signs and symptoms may indicate worsening condition or preeclampsia in a client with gestational hypertension?

A client is diagnosed with preeclampsia and is receiving magnesium sulfate IV for seizure prophylaxis. The nurse should monitor which of the following laboratory values?

A nurse is caring for a client with gestational hypertension who has been prescribed labetalol (Normodyne) to control blood pressure during pregnancy. Which of the following statements by the client indicates an understanding of the medication?

A nurse is caring for a client with gestational hypertension who has been prescribed methyldopa (Aldomet) to control blood pressure during pregnancy. Which of the following side effects should the nurse monitor for?

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?

Which of the following interventions should be included in the plan of care for a client with severe preeclampsia? (Select all that apply.)

(Select all that apply). A nurse is providing discharge teaching to a client with gestational hypertension who delivered a healthy baby two days ago. Which of the following statements by the client would indicate a need for further teaching?

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

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.).