The nurse is caring for a client with uncomplicated gestational hypertension. Which are expected findings of the disorder? Select all that apply.
Edema.
BP 155/92.
Proteinuria.
Hepatic dysfunction.
BP returns to normal after pregnancy.
Correct Answer : B,C
Choice A rationale:
Edema is not an expected finding of uncomplicated gestational hypertension. While some degree of edema can be common during pregnancy, it is not specifically related to gestational hypertension.
Choice B rationale:
A blood pressure reading of 155/92 is an expected finding in a client with uncomplicated gestational hypertension. Gestational hypertension is defined as systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥90 mmHg after 20 weeks of pregnancy, without the presence of proteinuria or other organ dysfunction.
Choice C rationale:
Proteinuria is an expected finding in gestational hypertension. It is an important diagnostic criterion for preeclampsia, which is a severe form of gestational hypertension.
Choice D rationale:
Hepatic dysfunction is not an expected finding in uncomplicated gestational hypertension. Hepatic dysfunction would indicate more severe complications such as HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelet count), which is a medical emergency.
Choice E rationale:
Blood pressure usually returns to normal after pregnancy in women with uncomplicated gestational hypertension. However, it is essential to monitor the client closely postpartum to ensure blood pressure normalization.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Petroleum jelly is a common recommendation to apply during diaper changes for circumcised newborns. It acts as a barrier between the diaper and the healing penis, reducing friction and preventing the diaper from sticking to the sensitive area. This can help promote better healing and prevent discomfort for the newborn.
Choice B rationale:
Pre-moistened towelettes are not typically recommended for application on the penis of a circumcised newborn during diaper changes. These towelettes may contain chemicals or irritants that could potentially irritate the delicate skin of the healing area.
Choice C rationale:
Povidone-iodine is an antiseptic solution often used to disinfect the skin before procedures or surgeries. However, it is not recommended for routine use on the penis of a circumcised newborn during diaper changes as it may be too harsh for the healing skin.
Choice D rationale:
Silver sulfadiazine is a topical antimicrobial agent used for treating burns and certain infections. However, it is not indicated for use on a circumcised newborn's penis during diaper changes. The healing process after circumcision does not usually involve infections that require this type of treatment.
Correct Answer is D
Explanation
Choice A rationale:
The client's statement about needing to have the IUD replaced each year is incorrect. The lifespan of most IUDs is longer than a year. Copper IUDs can last up to 10 years, and hormonal IUDs can last between 3 to 7 years, depending on the brand.
Choice B rationale:
The client's statement about needing to apply a spermicide prior to intercourse is unrelated to the correct use of an intrauterine device (IUD) for contraception. Spermicides are not required when using an IUD.
Choice C rationale:
The client's statement about expecting periods to stop while having the IUD is incorrect. Hormonal IUDs can often lead to lighter periods, and in some cases, periods may stop altogether. However, with a copper IUD, periods usually remain the same.
Choice D rationale:
This is the correct choice. The client's statement indicates an understanding of the teaching. Checking for the string each month after menstruation is crucial because it confirms that the IUD is still in place, reducing the risk of unintended pregnancy.
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