A nurse is teaching a client with mild pre-eclampsia about the signs and symptoms that she should report to the health care provider.
Which of the following should the nurse include? (Select all that apply)
Sudden weight gain
Decreased fetal movement
Vaginal bleeding
Nausea and vomiting
Swelling of the hands and feet
Correct Answer : A,B
The correct answer is choice A and B. Sudden weight gain and decreased fetal movement are signs of pre-eclampsia, a condition that develops in pregnant women and is marked by high blood pressure and presence of proteins in urine. Pre-eclampsia can affect the blood supply to the placenta and the growth of the baby.
Choice C is wrong because vaginal bleeding is not a symptom of pre-eclampsia, but it may indicate other problems such as placental abruption or miscarriage.
Choice D is wrong because nausea and vomiting are not specific symptoms of pre-eclampsia, but they may occur in some cases. However, excessive vomiting and nausea may be a sign of severe pre-eclampsia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
To prevent blood pressure from exceeding 160/110 mmHg.The goal of pharmacological therapy for pre-eclampsia is to prevent severe hypertension that can lead to complications such as stroke, kidney failure, or placental abruption.
Choice A is wrong because maintaining blood pressure below 140/90 mmHg is the target for normal hypertension, not pre-eclampsia.
Choice B is wrong because reducing blood pressure by 25% within one hour is too rapid and can compromise blood flow to the placenta and the fetus.
Choice C is wrong because keeping diastolic blood pressure between 80 and 100 mmHg is not specific enough and does not account for the systolic blood pressure, which is also important.
Correct Answer is A
Explanation
To prevent seizures.Magnesium sulfate is given to reduce central nervous system irritability and prevent seizures in clients with preeclampsia.Preeclampsia is a hypertensive disorder that occurs after 20 weeks of gestation and is characterized by elevated blood pressure, proteinuria, edema, headache, epigastric pain, and vision changes.
Choice B is wrong because magnesium sulfate does not lower blood pressure.Some antihypertensive drugs might be given to manage blood pressure in clients with preeclampsia.
Choice C is wrong because magnesium sulfate does not increase urine output.In fact, it can cause urinary retention and oliguria as adverse effects.
Choice D is wrong because magnesium sulfate does not promote fetal lung maturity.
It is given to prevent maternal complications, not fetal ones.Corticosteroids might be given to promote fetal lung maturity if delivery is anticipated before 34 weeks of gestation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today