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 A

Explanation

The correct answer is choice A) Serum magnesium level.Magnesium sulfate is a mineral that reduces seizure risks in women with preeclampsia.It is often given intravenously and can also be used to prolong pregnancy for up to two days.However, magnesium sulfate can also cause side effects and toxicity, such as respiratory depression, muscle weakness, and cardiac arrest.Therefore, the nurse should monitor the serum magnesium level to ensure that it is within the therapeutic range of 4 to 7 mg/dL.

Choice B) Serum potassium level is wrong because magnesium sulfate does not affect the potassium level significantly.

Potassium is an electrolyte that regulates the nerve and muscle function, especially the heart.

The normal range of potassium level is 3.5 to 5.0 mEq/L.

Choice C) Serum sodium level is wrong because magnesium sulfate does not affect the sodium level significantly.

Sodium is another electrolyte that helps maintain fluid balance and blood pressure.

The normal range of sodium level is 135 to 145 mEq/L.

Choice D) Serum calcium level is wrong because magnesium sulfate does not affect the calcium level significantly.

Calcium is a mineral that is important for bone health, blood clotting, and muscle contraction.

The normal range of calcium level is 8.5 to 10.2 mg/dL.

A. Elevated serum creatinine levels B. Elevated serum uric acid levels C. Elevated serum bilirubin levels D. Elevated serum glucose levels

Correct Answer is C

Explanation

The correct answer is choice C) Elevated serum bilirubin levels.This is because bilirubin is a product of hemolysis (the breakdown of red blood cells), which is one of the components of HELLP syndrome.Elevated serum bilirubin levels indicate that there is excessive hemolysis occurring in the body, which can lead to jaundice and liver damage.

Choice A) Elevated serum creatinine levels is wrong because creatinine is a marker of kidney function, not liver function or hemolysis.While kidney failure can occur as a complication of HELLP syndrome, it is not a diagnostic criterion.

Choice B) Elevated serum uric acid levels is wrong because uric acid is also a marker of kidney function, not liver function or hemolysis.Uric acid levels can be elevated in preeclampsia, but not specifically in HELLP syndrome.

Choice D) Elevated serum glucose levels is wrong because glucose is not related to liver function or hemolysis.Glucose levels can be elevated in gestational diabetes, but not in HELLP syndrome.

Normal ranges for these tests are:

• Serum bilirubin: 0.3 to 1.2 mg/dL

• Serum creatinine: 0.6 to 1.1 mg/dL

• Serum uric acid: 2.4 to 6.0 mg/dL

• Serum glucose: 70 to 100 mg/dL

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

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Naxlex Comprehensive Predictor Exams

A client is diagnosed with preeclampsia and is receiving magnesium sulfate IV for seizure prophylaxis. The nurse should monitor which of the following laboratory values?

Correct Answer is A

Explanation

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

Correct Answer is C

Explanation

What is a priority nursing intervention for a woman with severe preeclampsia who is receiving hydralazine IV.

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

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?

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 reviewing the risk factors for gestational hypertension with a group of pregnant clients at a prenatal clinic. Which of the following factors should the nurse include? (Select all that apply.).

Which of the following interventions should be included in the plan of care for a client with severe preeclampsia? (Select all that apply.)

(Select all that apply). A nurse is providing discharge teaching to a client with gestational hypertension who delivered a healthy baby two days ago. Which of the following statements by the client would indicate a need for further teaching?