Which of the following factors increases a woman’s risk for developing gestational hypertension.
Nulliparity
Age younger than 20 years
History of chronic renal disease
All of the above
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
The correct answer is choice B, D and E. These are signs and symptoms of preeclampsia, a serious complication of gestational hypertension that can affect the mother and the baby.Preeclampsia is marked by high blood pressure and protein in urine or other signs of organ damage.
Choice A is wrong because swelling of the face, hands or feet is a common symptom of pregnancy and does not necessarily indicate preeclampsia.However, sudden or severe swelling can be a warning sign and should be checked by a healthcare provider.
Choice C is wrong because severe headache is a symptom of preeclampsia, not gestational hypertension.Gestational hypertension is high blood pressure that develops after 20 weeks of pregnancy and does not have protein in urine or other signs of organ damage.
Some normal ranges for blood pressure during pregnancy are:
• Systolic (top number): less than 140 mm Hg
• Diastolic (bottom number): less than 90 mm Hg
Some normal ranges for protein in urine during pregnancy are:
• Less than 300 mg per 24 hours
• Less than 0.3 g per liter
Correct Answer is A
Explanation
The correct answer is choice A. Cerebral hemorrhage.Eclampsia is a severe complication of preeclampsia that causes seizures and can lead to stroke or death.Cerebral hemorrhage is bleeding in the brain that can result from high blood pressure and swelling in the brain caused by eclampsia.It is one of the most common causes of death in women with eclampsia.
Choice B. Pulmonary edema is wrong because it is not the most common cause of death in women with eclampsia.
Pulmonary edema is fluid accumulation in the lungs that can impair breathing and oxygen exchange.It can occur as a complication of eclampsia, but it is less frequent than cerebral hemorrhage.
Choice C. Liver rupture is wrong because it is not the most common cause of death in women with eclampsia.
Liver rupture is a rare but serious complication of eclampsia that involves bleeding from the liver due to increased pressure and damage to the liver tissue.It can cause severe abdominal pain, shock and death.
Choice D. Disseminated intravascular coagulation (DIC) is wrong because it is not the most common cause of death in women with eclampsia.
DIC is a condition where the blood clotting system becomes overactive and forms clots throughout the body, leading to bleeding and organ failure.It can occur as a complication of eclampsia, but it is less common than cerebral hemorrhage.
Normal ranges for blood pressure are below 140/90 mmHg and for proteinuria are below 300 mg/24 hours or below 30 mg/dL in a urine sample.
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