Chapter 25 Pregnancy-Related Complications: Hypertensive Disorders verified to pass 2023/2024

Chapter 25 Pregnancy-Related Complications: Hypertensive DisordersA primigravida is being monitored at the prenatal clinic for preeclampsia. Which finding is of greatest concern to the nurse? a.Blood pressure (BP) increase to 138/86 mm Hg b.Weight gain of 0.5 kg during the past 2 weeks c.Dipstick value of 3+ for protein in her urine d.Pitting pedal edema at the end of the day - correct answer ANS: C Proteinuria is defined as a concentration of 1+ or greater via dipstick measurement. A dipstick value of 3+ alerts the nurse that additional testing or assessment should be performed. A 24-hour urine collection is preferred over dipstick testing attributable to accuracy. Generally, hypertension is defined as a BP of 140/90 mm Hg or an increase in systolic pressure of 30 mm Hg or diastolic pressure of 15 mm Hg. Preeclampsia may be demonstrated as a rapid weight gain of more than 2 kg in 1 week. Edema occurs in many normal pregnancies, as well as in women with preeclampsia. Therefore, the presence of edema is no longer considered diagnostic of preeclampsia. The labor of a pregnant woman with preeclampsia is going to be induced. Before initiating the oxytocin (Pitocin) infusion, the nurse reviews the woman's latest laboratory test findings, which reveal a platelet count of 90,000 mm3, an elevated aspartate aminotransaminase (AST) level, and a falling hematocrit. The laboratory results are indicative of which condition? a.Eclampsia b.Disseminated intravascular coagulation (DIC) syndrome c.Hemolysis, elevated liver enzyme levels, and low platelet levels (HELLP) syndrome d.Idiopathic thrombocytopenia - correct answer ANS: C HELLP syndrome is a laboratory diagnosis for a variant of severe preeclampsia that involves hepatic dysfunction characterized by hemolysis (H), elevated liver (EL) enzymes, and low platelets (LP). Eclampsia is determined by the presence of seizures. DIC is a potential complication associated with HELLP syndrome. Idiopathic thrombocytopenia is the presence of low platelets of unknown cause and is not associated with preeclampsia. A woman with preeclampsia has a seizure. What is the nurse's highest priority during a seizure? a.To insert an oral airway b.To suction the mouth to prevent aspiration c.To administer oxygen by mask d.To stay with the client and call for help - correct answer ANS: D