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 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. Hemoglobin 12 g/dL, platelets 150,000/mm3, AST 20 U/L, ALT 18 U/L B. Hemoglobin 10 g/dL, platelets 100,000/mm3, AST 40 U/L, ALT 35 U/L C. Hemoglobin 8 g/dL, platelets 50,000/mm3, AST 80 U/L, ALT 70 U/L D. Hemoglobin 6 g/dL, platelets 25,000/mm3, AST 120 U/L, ALT 100 U/L

Correct Answer is D

Explanation

The correct answer is choice D. Hemoglobin 6 g/dL, platelets 25,000/mm3, AST 120 U/L, ALT 100 U/L.

This is because HELLP syndrome is a pregnancy complication that causes hemolysis (breaking down of red blood cells), elevated liver enzymes (indicating liver injury), and low platelet count (impairing blood clotting).

Choice A is wrong because hemoglobin 12 g/dL, platelets 150,000/mm3, AST 20 U/L, ALT 18 U/L are all within normal ranges and do not indicate HELLP syndrome.

Choice B is wrong because hemoglobin 10 g/dL, platelets 100,000/mm3, AST 40 U/L, ALT 35 U/L are mildly abnormal and may suggest mild preeclampsia but not HELLP syndrome.

Choice C is wrong because hemoglobin 8 g/dL, platelets 50,000/mm3, AST 80 U/L, ALT 70 U/L are moderately abnormal and may suggest moderate preeclampsia or incomplete HELLP syndrome but not full HELLP syndrome.

Normal ranges for these laboratory tests are:

• Hemoglobin: 11.5 to 16.5 g/dL for women.

• Platelets: 150,000 to 450,000/mm3 for adults.

• AST: 10 to 40 U/L for adults.

• ALT: 7 to 56 U/L for adults.

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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.).

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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

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?

Correct Answer is D

Explanation

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.).

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 is at risk for developing preeclampsia. Which of the following interventions should the nurse implement to prevent this complication? (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?

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?

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

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 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.).