A 38-year-old multigravida returns to the clinic for a routine prenatal visit at 36 weeks gestation.
Assessment findings include blood pressure: 149/93 mm Hg, pulse: 80 beats/min, respiratory rate: 16 breaths/min.
The nurse suspects preeclampsia.
What additional finding would the nurse assess for?
Uterine contractions.
Decreased deep tendon reflexes.
Increased blood glucose level.
Proteinuria.
The Correct Answer is D
Choice A rationale
Uterine contractions are not a primary indicator of preeclampsia but rather of labor.
Choice B rationale
Preeclampsia is associated with hyperreflexia, not decreased deep tendon reflexes.
Choice C rationale
Preeclampsia is primarily monitored through blood pressure and proteinuria, not blood glucose levels.
Choice D rationale
Proteinuria is a key indicator of preeclampsia, caused by kidney damage due to high blood pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Nausea is typically present in patients with a hydatidiform mole due to high hCG levels.
Choice B rationale
Category II fetal heart rate patterns are indicative of intermediate fetal compromise but are not specific to hydatidiform mole.
Choice C rationale
hCG levels are typically elevated, not decreased, in a hydatidiform mole due to the abnormal growth of trophoblastic tissue.
Choice D rationale
An enlarged uterus is a classic sign of a hydatidiform mole due to the overgrowth of placental tissue without a viable fetus.
Correct Answer is D
Explanation
Choice A rationale
Ibuprofen is not recommended during pregnancy, especially in the later stages, as it can cause harm to the fetus and affect amniotic fluid levels.
Choice B rationale
While hydration is crucial for managing Hyperemesis Gravidarum, 0.9% Sodium Chloride alone won't address the underlying symptoms like nausea and vomiting effectively.
Choice C rationale
Magnesium Sulfate is typically used to prevent seizures in preeclampsia, not for Hyperemesis Gravidarum.
Choice D rationale
Pyridoxine (vitamin B6) is often recommended for Hyperemesis Gravidarum as it can help reduce nausea and vomiting.
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