Signs and symptoms of preeclampsia with severe features include (Select all that apply):
Elevated liver function tests
Unremitting headache
Rising protein in sequential 24-hour urine
Increased urine output
Pain in the left upper quadrant
BP > 160/110
Correct Answer : A,B,C,E,F
Choice A: Elevated liver function tests indicate liver damage, which is a complication of preeclampsia with severe features.
Choice B: Unremitting headache is a sign of increased intracranial pressure, which can result from cerebral edema or hemorrhage caused by preeclampsia with severe features.
Choice C: Rising protein in sequential 24-hour urine reflects the degree of glomerular damage and renal impairment caused by preeclampsia with severe features.
Choice D: Increased urine output is not a sign of preeclampsia with severe features. In fact, oliguria (decreased urine output) may occur due to reduced renal perfusion and acute kidney injury.
Choice E: Pain in the left upper quadrant is a sign of splenic rupture or subcapsular hematoma, which are rare but life-threatening complications of preeclampsia with severe features.
Choice F: BP > 160/110 is one of the diagnostic criteria for preeclampsia with severe features, as it indicates severe hypertension and increased risk of maternal and fetal complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Correct Answer is ["C","D"]
Explanation
Choice A: Applying lotion to the newborn's skin twice per day is not an appropriate action, as it can interfere with the effectiveness of phototherapy and increase the risk of skin irritation and infection. The nurse should avoid using any creams, oils, or lotions on the newborn's skin during phototherapy.
Choice B: Maintaining the newborn in a prone position is not an appropriate action, as it can increase the risk of suffocation and aspiration. The nurse should position the newborn on the back or the side and rotate the position every 2 to 4 hours to expose different areas of the skin to the light.
Choice C: Encouraging the newborn to breastfeed every 2 hours is an appropriate action, as it helps prevent dehydration and maintain adequate nutrition and hydration. The nurse should also monitor the newborn's weight, intake, and output and supplement with formula or intravenous fluids if needeD.
Choice D: Monitoring the newborn's blood glucose level hourly is an appropriate action, as it helps detect and treat hypoglycemia, which can occur due to increased metabolic rate and decreased caloric intakE. The nurse should also monitor the newborn's bilirubin level, hematocrit, and electrolytes and report any abnormal findings.
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