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 B

Explanation

Methyldopa is a drug that lowers blood pressure by reducing the activity of the sympathetic nervous system.

One of the possible side effects of methyldopa is hypotension, which means abnormally low blood pressure.Hypotension can cause dizziness, fainting, and shock.

Choice A) Bradycardia is wrong because methyldopa does not affect the heart rate directly.Bradycardia means a slow heart rate, which can be caused by other drugs or conditions.

Choice C) Hyperkalemia is wrong because methyldopa does not affect the potassium levels in the blood.Hyperkalemia means high potassium levels, which can be caused by kidney problems or other drugs.

Choice D) Hyperglycemia is wrong because methyldopa does not affect the glucose levels in the blood.Hyperglycemia means high glucose levels, which can be caused by diabetes or other conditions.

Normal ranges for blood pressure are 90/60 mmHg to 120/80 mmHg, for heart rate are 60 to 100 beats per minute, for potassium are 3.5 to 5.0 mmol/L, and for glucose are 70 to 100 mg/dL.

A. Serum magnesium level B. Serum potassium level C. Serum sodium level D. Serum calcium level

Correct Answer is A

Explanation

The correct answer is choice A) Serum magnesium level.Magnesium sulfate is a mineral that reduces seizure risks in women with preeclampsia.It is often given intravenously and can also be used to prolong pregnancy for up to two days.However, magnesium sulfate can also cause side effects and toxicity, such as respiratory depression, muscle weakness, and cardiac arrest.Therefore, the nurse should monitor the serum magnesium level to ensure that it is within the therapeutic range of 4 to 7 mg/dL.

Choice B) Serum potassium level is wrong because magnesium sulfate does not affect the potassium level significantly.

Potassium is an electrolyte that regulates the nerve and muscle function, especially the heart.

The normal range of potassium level is 3.5 to 5.0 mEq/L.

Choice C) Serum sodium level is wrong because magnesium sulfate does not affect the sodium level significantly.

Sodium is another electrolyte that helps maintain fluid balance and blood pressure.

The normal range of sodium level is 135 to 145 mEq/L.

Choice D) Serum calcium level is wrong because magnesium sulfate does not affect the calcium level significantly.

Calcium is a mineral that is important for bone health, blood clotting, and muscle contraction.

The normal range of calcium level is 8.5 to 10.2 mg/dL.

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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 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?

Correct Answer is B

Explanation

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?

Correct Answer is A

Explanation

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.).

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

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?

Which of the following findings would indicate that a client with preeclampsia is experiencing HELLP syndrome?

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.)

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.)

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.).