N360 HTN Disorders In Pregnancy Pearson
Questions Exam With Complete Answers
A nurse is caring for a pregnant client who is being monitored for gestational
hypertension. Which assessment finding indicates a worsening of gestational
hypertension and the need to notify the healthcare provider?
Edema 2+
Increased urine output
Client complains of blurred vision and a headache
.
Blood pressure 140/90 mmHg - ANSWER Client complains of blurred vision and
a headache
Rationale: Complaints of blurred vision, headache, and/or epigastric pain are
indications that the condition is worsening. Baseline BP for preeclampsia is
140/90 mmHg. Any increase of 30 systolic and 15 diastolic can indicate possible
gestational hypertension. Gestational hypertension will cause a decrease in
urine output, not an increase. Edema of 2+ is a normal finding.
A client with preeclampsia at 32 weeks' gestation has been admitted to the
hospital with signs of a worsening condition. She tells the nurse that she is
worried about injury to her baby. Which action may the nurse take to help the
client remain calm about her own and her baby's condition?
(Select all that apply.)
Educate the client on how to monitor and record fetal movement throughout the
day
Invite the client to identify and discuss any concerns she has about her baby's
well-being
Keep the client and her family informed about fetal status
Inform the client that a nurse will be with her to offer support during the
administration of any tests for fetal well-being
, Inform the client that a preterm delivery may be unavoidable if she does not
remain calm and her blood pressure continues to rise - ANSWER Educate the
client on how to monitor and record fetal movement throughout the day
Invite the client to identify and discuss any concerns she has about her baby's
well-being
Keep the client and her family informed about fetal status
Inform the client that a nurse will be with her to offer support during the
administration of any tests for fetal well-being
Rationale: The nurse can and should offer support and practical help to the
client and her family during this difficult time. When the client knows how to
monitor her own symptoms in order to be able to report worsening conditions
that will affect her baby, it can ease her mind. Some of her fears of the unknown
can be allayed when she and her family are kept informed of any tests that are
being performed and how the baby is doing. Talking about her concerns lets the
nurse know how to best help her. Emphasizing the possibility of a preterm
delivery will not contribute to a calm environment for the client.
A nurse is caring for a pregnant client with preeclampsia. The nurse is at the
bedside and notes that the client has now progressed to eclampsia. Which
would be the nurse's first priority?
Administer magnesium sulfate IV
Assess BP and fetal heart rate
Maintain an open airway
Administer oxygen by mask - ANSWER Maintain an open airway
Rationale: When the client progresses from preeclampsia to eclampsia, a
seizure is involved. A patent airway is the immediate priority when someone is
having a seizure. The other options are all actions that would be taken, but
maintaining a patent airway is the priority.
At a prenatal visit, a client with gestational hypertension laments the amount of
weight she has gained since her last appointment. Her blood pressure and other
vital signs are within acceptable limits. What does the client say that indicates
that she needs additional education about good nutrition?
Questions Exam With Complete Answers
A nurse is caring for a pregnant client who is being monitored for gestational
hypertension. Which assessment finding indicates a worsening of gestational
hypertension and the need to notify the healthcare provider?
Edema 2+
Increased urine output
Client complains of blurred vision and a headache
.
Blood pressure 140/90 mmHg - ANSWER Client complains of blurred vision and
a headache
Rationale: Complaints of blurred vision, headache, and/or epigastric pain are
indications that the condition is worsening. Baseline BP for preeclampsia is
140/90 mmHg. Any increase of 30 systolic and 15 diastolic can indicate possible
gestational hypertension. Gestational hypertension will cause a decrease in
urine output, not an increase. Edema of 2+ is a normal finding.
A client with preeclampsia at 32 weeks' gestation has been admitted to the
hospital with signs of a worsening condition. She tells the nurse that she is
worried about injury to her baby. Which action may the nurse take to help the
client remain calm about her own and her baby's condition?
(Select all that apply.)
Educate the client on how to monitor and record fetal movement throughout the
day
Invite the client to identify and discuss any concerns she has about her baby's
well-being
Keep the client and her family informed about fetal status
Inform the client that a nurse will be with her to offer support during the
administration of any tests for fetal well-being
, Inform the client that a preterm delivery may be unavoidable if she does not
remain calm and her blood pressure continues to rise - ANSWER Educate the
client on how to monitor and record fetal movement throughout the day
Invite the client to identify and discuss any concerns she has about her baby's
well-being
Keep the client and her family informed about fetal status
Inform the client that a nurse will be with her to offer support during the
administration of any tests for fetal well-being
Rationale: The nurse can and should offer support and practical help to the
client and her family during this difficult time. When the client knows how to
monitor her own symptoms in order to be able to report worsening conditions
that will affect her baby, it can ease her mind. Some of her fears of the unknown
can be allayed when she and her family are kept informed of any tests that are
being performed and how the baby is doing. Talking about her concerns lets the
nurse know how to best help her. Emphasizing the possibility of a preterm
delivery will not contribute to a calm environment for the client.
A nurse is caring for a pregnant client with preeclampsia. The nurse is at the
bedside and notes that the client has now progressed to eclampsia. Which
would be the nurse's first priority?
Administer magnesium sulfate IV
Assess BP and fetal heart rate
Maintain an open airway
Administer oxygen by mask - ANSWER Maintain an open airway
Rationale: When the client progresses from preeclampsia to eclampsia, a
seizure is involved. A patent airway is the immediate priority when someone is
having a seizure. The other options are all actions that would be taken, but
maintaining a patent airway is the priority.
At a prenatal visit, a client with gestational hypertension laments the amount of
weight she has gained since her last appointment. Her blood pressure and other
vital signs are within acceptable limits. What does the client say that indicates
that she needs additional education about good nutrition?
