RN Complications of Pregnancy: Hypertensive Disorders Assessment
NURS 222 West Coast University-Ontario | UPDATED Questions with
100% Verified Answers
Question:
A nurse is teaching a client who is at 30 weeks of gestation
and has a new diagnosis of preeclampsia. Which of the
following statements should the nurse include in the teaching?
Answer:
"The stress of your placenta not perfusing well is causing
inflammation making your blood vessels constrict and your
blood pressure increase." The exact pathophysiology of why
preeclampsia occurs is not well understood; however, it is
thought to involve placental implantation and vasoconstrictive
factors, leading to increased vascular resistance, widespread
vasospasm, and increased production of procoagulant
substances. These responses can lead to an increase in blood
pressure as well as maternal end-organ damage to the brain,
liver, and kidneys.
Question:
A nurse in an outpatient clinic is caring for a pregnant client.
Urinalysis results: Urinalysis 2+ protein (Negative) Blood
pressure readings: 2 days ago: Blood pressure 145/95 mm Hg.
Today: Blood pressure 150/98 mm Hg Gestational age at
onset: 22 weeks of gestation Creatinine level: 1.1 mg/dL (0.5
to 1.0 mg/dL) For each client finding, click to specify if the
finding is consistent with gestational hypertension,
preeclampsia without severe features, or preeclampsia with
severe features.
Answer:
When analyzing cues, the nurse should identify blood
pressure greater than or equal to 140/90 mmHg on 2
occasions greater than 4 hours apart that develops after 20
, weeks gestation as manifestations of gestational hypertension.
Clients who have gestational hypertension additionally have a
higher incidence of impaired liver function and
thrombocytopenia. Clients who have gestation hypertension
do not present with proteinuria. When analyzing cues, the
nurse should identify blood pressure greater than or equal to
140/90 mmHg on 2 occasions greater than 4 hours apart that
develops after 20 weeks gestation, proteinuria, and renal
insufficiency as manifestations of preeclampsia without
severe features. When analyzing cues, the nurse should
identify proteinuria and creatinine greater than or equal to 1.1
mg/dL manifestations of preeclampsia with severe features.
Manifestations of preeclampsia with severe features develop
after 20 weeks gestation. Clients who have preeclampsia with
severe features will additionally present with systolic blood
pressure greater than or equal to 160 mmHg or diastolic blood
pressure greater than or equal to 110 mmHg on two occasions
greater than 4 hours apart. Clients who have preeclampsia
with severe features present commonly present with a platelet
count less than 100,000 mm3, and liver function tests 2 times
the upper limit of the normal range.
Question:
A nurse is caring for a client who has gestational
hypertension. The client asks the nurse about the long-term
effects of gestational hypertension. Which of the following
responses should the nurse make?
Answer:
"You have a higher risk of developing a cardiovascular
disease." Maternal long-term risks of gestational hypertension
include the development of cardiovascular disease,
cerebrovascular disease, and metabolic disease.
NURS 222 West Coast University-Ontario | UPDATED Questions with
100% Verified Answers
Question:
A nurse is teaching a client who is at 30 weeks of gestation
and has a new diagnosis of preeclampsia. Which of the
following statements should the nurse include in the teaching?
Answer:
"The stress of your placenta not perfusing well is causing
inflammation making your blood vessels constrict and your
blood pressure increase." The exact pathophysiology of why
preeclampsia occurs is not well understood; however, it is
thought to involve placental implantation and vasoconstrictive
factors, leading to increased vascular resistance, widespread
vasospasm, and increased production of procoagulant
substances. These responses can lead to an increase in blood
pressure as well as maternal end-organ damage to the brain,
liver, and kidneys.
Question:
A nurse in an outpatient clinic is caring for a pregnant client.
Urinalysis results: Urinalysis 2+ protein (Negative) Blood
pressure readings: 2 days ago: Blood pressure 145/95 mm Hg.
Today: Blood pressure 150/98 mm Hg Gestational age at
onset: 22 weeks of gestation Creatinine level: 1.1 mg/dL (0.5
to 1.0 mg/dL) For each client finding, click to specify if the
finding is consistent with gestational hypertension,
preeclampsia without severe features, or preeclampsia with
severe features.
Answer:
When analyzing cues, the nurse should identify blood
pressure greater than or equal to 140/90 mmHg on 2
occasions greater than 4 hours apart that develops after 20
, weeks gestation as manifestations of gestational hypertension.
Clients who have gestational hypertension additionally have a
higher incidence of impaired liver function and
thrombocytopenia. Clients who have gestation hypertension
do not present with proteinuria. When analyzing cues, the
nurse should identify blood pressure greater than or equal to
140/90 mmHg on 2 occasions greater than 4 hours apart that
develops after 20 weeks gestation, proteinuria, and renal
insufficiency as manifestations of preeclampsia without
severe features. When analyzing cues, the nurse should
identify proteinuria and creatinine greater than or equal to 1.1
mg/dL manifestations of preeclampsia with severe features.
Manifestations of preeclampsia with severe features develop
after 20 weeks gestation. Clients who have preeclampsia with
severe features will additionally present with systolic blood
pressure greater than or equal to 160 mmHg or diastolic blood
pressure greater than or equal to 110 mmHg on two occasions
greater than 4 hours apart. Clients who have preeclampsia
with severe features present commonly present with a platelet
count less than 100,000 mm3, and liver function tests 2 times
the upper limit of the normal range.
Question:
A nurse is caring for a client who has gestational
hypertension. The client asks the nurse about the long-term
effects of gestational hypertension. Which of the following
responses should the nurse make?
Answer:
"You have a higher risk of developing a cardiovascular
disease." Maternal long-term risks of gestational hypertension
include the development of cardiovascular disease,
cerebrovascular disease, and metabolic disease.
