Which of the following is a sign or symptom of gestational hypertension?

Severe headache

Chest pain

Nausea or vomiting

Swelling of the face, hands or feet

Answer and Explanation

The Correct Answer is D

The correct answer is choice D) Swelling of the face, hands or feet. This is one of the signs and symptoms of gestational hypertension, which is high blood pressure that begins after 20 weeks of pregnancy and goes away after delivery. Gestational hypertension can lead to complications for both the mother and the baby, such as preeclampsia, which is a severe condition that causes protein in the urine and other problems.

Choice A) Severe headache is wrong because it is not a specific sign of gestational hypertension, but it can be a symptom of preeclampsia, which is a possible complication of gestational hypertension.

Choice B) Chest pain is wrong because it is not a common sign of gestational hypertension, but it can be a sign of a serious heart problem or a pulmonary embolism, which is a blood clot in the lungs. Chest pain during pregnancy should be evaluated by a doctor as soon as possible.

Choice C) Nausea or vomiting is wrong because it is not a typical sign of gestational hypertension, but it can be a symptom of preeclampsia or other conditions such as hyperemesis gravidarum, which is severe nausea and vomiting during pregnancy that can lead to dehydration and weight loss.

Normal blood pressure ranges for pregnant women are below 120/80 mm Hg. Gestational hypertension is diagnosed when the blood pressure is greater than or equal to 140/90 mm Hg after 20 weeks of pregnancy.

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Correct Answer is C

Explanation

The correct answer is choice C) “I should report any dizziness or lightheadedness while taking this medication.” This is because labetalol can lower blood pressure and cause orthostatic hypotension, which can lead to falls and injuries.The patient should be advised to change positions slowly and monitor their blood pressure regularly while taking labetalol.

Choice A is wrong because labetalol can be taken with or without food.Taking it on an empty stomach does not affect its absorption or efficacy.

Choice B is wrong because labetalol does not affect potassium levels in the blood.Foods high in potassium are not contraindicated while taking this medication.

Choice D is wrong because swelling in the feet or hands can be a sign of worsening preeclampsia, which is a serious complication of hypertension in pregnancy.The patient should not stop taking labetalol without consulting their doctor, as this can cause rebound hypertension and endanger the mother and the fetus.The patient should seek medical attention if they experience swelling, headache, vision changes, abdominal pain, or reduced fetal movements.

A. Nulliparity B. Age younger than 20 years C. History of chronic renal disease D. All of the above

Correct Answer is D

Explanation

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.

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Which of the following is a sign or symptom of gestational hypertension?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with gestational hypertension who has been prescribed labetalol (Normodyne) to control blood pressure during pregnancy. Which of the following statements by the client indicates an understanding of the medication?

Correct Answer is C

Explanation

Which of the following factors increases a woman’s risk for developing gestational hypertension.

Correct Answer is D

Explanation

Which of the following findings would indicate that a client with preeclampsia is experiencing HELLP syndrome?

Which of the following is a sign or symptom of gestational hypertension?

A nurse is reviewing the laboratory results of a client with gestational hypertension who has been diagnosed with HELLP syndrome. Which of the following findings would the nurse expect to see?

A nurse is evaluating the effectiveness of magnesium sulfate therapy for a client with severe preeclampsia who is in labor. Which of the following findings would indicate that the therapy is effective?

A nurse is preparing to administer an IV loading dose of magnesium sulfate to a client who has preeclampsia with severe features. Which of the following actions should the nurse take?

A nurse is caring for a client with gestational hypertension who has been prescribed methyldopa (Aldomet) to control blood pressure during pregnancy. Which of the following side effects should the nurse monitor for?

A nurse is caring for a client with gestational hypertension who is at risk for developing preeclampsia. Which of the following interventions should the nurse implement to prevent this complication? (Select all that apply.).

A nurse is caring for a client with gestational hypertension who has been prescribed magnesium sulfate to prevent seizures related to preeclampsia. Which of the following assessments should the nurse prioritize?