ATI ENGAGE COMPLICATIONS OF PREGNANCY:
HYPERTENSIVE DISORDERS EXAM WITH
COMPLETE SOLUTIONS
For each potential provider's order, click to specify if the potential order is
anticipated or not anticipated for the client. There must be at least 1 selection in
every row. There does not need to be a selection in every column. - ANSWER
When generating solutions for a client who has gestational hypertension, the
nurse should anticipate provider prescriptions for oral antihypertensive
medication, weekly blood work for platelet count, liver function tests, and serum
creatinine, and ultrasound evaluation for fetal growth and amniotic fluid level
every 3 to 4 weeks. The nurse should additionally anticipate weekly evaluation
for proteinuria. Oral anticonvulsant medications and magnesium sulfate are not
indicated for a client who has gestational hypertension; however, these
medications are commonly used as part of the treatment plan for clients who
have preeclampsia and eclampsia. The nurse should educate the client about
manifestations of progressive illness that should be reported immediately.
A nurse is teaching a client who is at 30 weeks gestation, has preeclampsia, and
has been prescribed an antihypertensive medication. Which of the following
should the nurse include in the teaching? - ANSWER Home blood pressure
monitoring
Take medication as prescribed
Implement fetal kick counts at least once a day
Call provider with manifestations of worsening blood pressure
A nurse is administering betamethasone to a preterm client who has
preeclampsia with severe features. Which of the following should the nurse
understand is the clinical indication for this medication? - ANSWER Increase
fetal surfactant production
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 cardiovascular disease
A nurse is caring for a client who is at 33 weeks of gestation and has a diagnosis
of preeclampsia with severe features. The client reports a sudden onset of
headache in the frontal region. Which of the following should the nurse identify
, as the etiology of the client's manifestations? - ANSWER Increased blood-brain
barrier permeability
For each potential provider's order, click to specify if the potential order is
anticipated or not anticipated for the client. There must be at least 1 selection in
every row. There does not need to be a selection in every column. - ANSWER
Benzodiazepine
A nurse is caring for a client in their third trimester who has been diagnosed
with gestational hypertension during their prenatal visit.
The client returns from their ultrasound and the nurse reviews the ultrasound
repert. Which of the following fetal complications is an expected finding? -
ANSWER Fetal growth restriction
A nurse is counseling a client who has chronic hypertension and is at 8 weeks of
gestation. The nurse notices a recent decrease in the client's blood pressure
readings. Which of the following statements should the nurse make? - ANSWER
During the first trimester, the increase in hormones causes your veins and
arteries to dilate, decreasing your blood pressure
A nurse is caring for a client who is at 32 weeks of gestation and has a recent
diagnosis of HELL syndrome. The client's laboratory values indicate liver
dysfunction. Which of the following should the nurse identify as the cause of liver
dysfunction associated with HELLE syndrome? - ANSWER Release of metabolic
intermediates
A nurse is teaching a client who is at 32 weeks of gestation and has been
diagnosed with preeclampsia without severe features. The nurse should instruct
the client to immediately report which of the following manifestations to the
provider? (Select all that apply.) - ANSWER Severe headache
Right upper quadrant pain
Visual Changes
For each client finding, click to specify if the finding is consistent with
gestational hypertension, preeclampsia without severe features, or
preeclampsia with severe features. Each finding may support more than 1
disease process or none at all. There must be at least 1 selection in every
column. There does not need to be a selection in every row. - ANSWER When
analyzing cues, the nurse should identify blood pressure greater than or equal
to 140/90 mmH 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 mg on 2 occasions greater than 4 hours apart that develops
HYPERTENSIVE DISORDERS EXAM WITH
COMPLETE SOLUTIONS
For each potential provider's order, click to specify if the potential order is
anticipated or not anticipated for the client. There must be at least 1 selection in
every row. There does not need to be a selection in every column. - ANSWER
When generating solutions for a client who has gestational hypertension, the
nurse should anticipate provider prescriptions for oral antihypertensive
medication, weekly blood work for platelet count, liver function tests, and serum
creatinine, and ultrasound evaluation for fetal growth and amniotic fluid level
every 3 to 4 weeks. The nurse should additionally anticipate weekly evaluation
for proteinuria. Oral anticonvulsant medications and magnesium sulfate are not
indicated for a client who has gestational hypertension; however, these
medications are commonly used as part of the treatment plan for clients who
have preeclampsia and eclampsia. The nurse should educate the client about
manifestations of progressive illness that should be reported immediately.
A nurse is teaching a client who is at 30 weeks gestation, has preeclampsia, and
has been prescribed an antihypertensive medication. Which of the following
should the nurse include in the teaching? - ANSWER Home blood pressure
monitoring
Take medication as prescribed
Implement fetal kick counts at least once a day
Call provider with manifestations of worsening blood pressure
A nurse is administering betamethasone to a preterm client who has
preeclampsia with severe features. Which of the following should the nurse
understand is the clinical indication for this medication? - ANSWER Increase
fetal surfactant production
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 cardiovascular disease
A nurse is caring for a client who is at 33 weeks of gestation and has a diagnosis
of preeclampsia with severe features. The client reports a sudden onset of
headache in the frontal region. Which of the following should the nurse identify
, as the etiology of the client's manifestations? - ANSWER Increased blood-brain
barrier permeability
For each potential provider's order, click to specify if the potential order is
anticipated or not anticipated for the client. There must be at least 1 selection in
every row. There does not need to be a selection in every column. - ANSWER
Benzodiazepine
A nurse is caring for a client in their third trimester who has been diagnosed
with gestational hypertension during their prenatal visit.
The client returns from their ultrasound and the nurse reviews the ultrasound
repert. Which of the following fetal complications is an expected finding? -
ANSWER Fetal growth restriction
A nurse is counseling a client who has chronic hypertension and is at 8 weeks of
gestation. The nurse notices a recent decrease in the client's blood pressure
readings. Which of the following statements should the nurse make? - ANSWER
During the first trimester, the increase in hormones causes your veins and
arteries to dilate, decreasing your blood pressure
A nurse is caring for a client who is at 32 weeks of gestation and has a recent
diagnosis of HELL syndrome. The client's laboratory values indicate liver
dysfunction. Which of the following should the nurse identify as the cause of liver
dysfunction associated with HELLE syndrome? - ANSWER Release of metabolic
intermediates
A nurse is teaching a client who is at 32 weeks of gestation and has been
diagnosed with preeclampsia without severe features. The nurse should instruct
the client to immediately report which of the following manifestations to the
provider? (Select all that apply.) - ANSWER Severe headache
Right upper quadrant pain
Visual Changes
For each client finding, click to specify if the finding is consistent with
gestational hypertension, preeclampsia without severe features, or
preeclampsia with severe features. Each finding may support more than 1
disease process or none at all. There must be at least 1 selection in every
column. There does not need to be a selection in every row. - ANSWER When
analyzing cues, the nurse should identify blood pressure greater than or equal
to 140/90 mmH 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 mg on 2 occasions greater than 4 hours apart that develops
