A nurse is teaching a client with eclampsia about the purpose of corticosteroid therapy.

Which of the following statements by the client indicates understanding of the teaching?

The target blood pressure goal for a client with severe pre-eclampsia is less than 160/110 mmHg.

This is because lowering the blood pressure too much or too fast can compromise the placental perfusion and fetal oxygenation.

Choice A is wrong because it is the target blood pressure goal for a client with chronic hypertension or gestational hypertension without severe features.

Choice B is wrong because it is the target blood pressure goal for a client with mild pre-eclampsia.

Choice D is wrong because it is too high and can increase the risk of maternal and fetal complications such as stroke, eclampsia, placental abruption, and fetal growth restriction.

Normal blood pressure ranges are less than 120/80 mmHg for systolic and diastolic pressures respectively.

Protein excretion of 450 mg indicates proteinuria.Proteinuria is the presence of excess protein in the urine, which can be a sign of kidney damage or disease.Normal protein excretion in a 24-hour urine collection is less than 150 mg.

Choice A is wrong because protein excretion of 150 mg is within the normal range.

Choice B is wrong because protein excretion of 250 mg is slightly above the normal range, but not enough to indicate proteinuria.

Choice C is wrong because protein excretion of 350 mg is also above the normal range, but not enough to indicate proteinuria.

Preeclampsia is a condition that affects some pregnant women, usually after 20 weeks of pregnancy.It causes high blood pressure and proteinuria, which can harm both the mother and the baby.A 24-hour urine collection is a simple lab test that measures what’s in the urine and checks kidney function.The test is done by collecting all the urine passed in a 24-hour period in a special container that must be kept cool until returned to the lab.