A nurse is assisting in the care of a client at 30 weeks of gestation who has a blood pressure reading of 160/116 mm Hg and 4 hours previously it was 164/114 mm Hg. The client reports blurred vision and a persistent frontal headache.
Which of the following complications of gestation should the nurse suspect?

Gestational hypertension.

Preeclampsia with severe features.

Preeclampsia without severe features.

Chronic hypertension.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Gestational hypertension is diagnosed when high blood pressure develops after 20 weeks of pregnancy without other symptoms of preeclampsia, such as proteinuria or end-organ dysfunction.

Choice B rationale

Preeclampsia with severe features includes high blood pressure, proteinuria, and symptoms like blurred vision and headaches. These indicate severe disease, which can endanger both the mother and the fetus if left untreated.

Choice C rationale

Preeclampsia without severe features involves high blood pressure and proteinuria but without the additional severe symptoms like blurred vision and headache.

Choice D rationale

Chronic hypertension refers to high blood pressure that was present before pregnancy or diagnosed before 20 weeks of gestation. It does not typically present with acute symptoms like blurred vision and headache that develop suddenly.

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Correct Answer is C

Explanation

Choice A rationale

While mutations in certain genes can increase the risk of various conditions, a positive test for a mutation of the GDF15 gene is not specifically associated with hypothyroidism.

Choice B rationale

Low TSH and elevated T4 levels typically indicate hyperthyroidism, not hypothyroidism. Hypothyroidism is characterized by high TSH and low T4 levels.

Choice C rationale

Hashimoto's disease is an autoimmune disorder that destroys thyroid tissue, leading to hypothyroidism due to reduced thyroid hormone production.

Choice D rationale

Helicobacter pylori infection is associated with gastrointestinal issues, but it is not directly linked to an increased risk of hypothyroidism.

A. Decreased arterial resistance. B. Unexpected placental implantation. C. Increased uterine spiral artery remodeling. D. Vasodilation.

Correct Answer is C

Explanation

Choice A rationale

Decreased arterial resistance is not associated with eclampsia. Eclampsia is characterized by increased arterial resistance due to hypertension and vascular changes during pregnancy.

Choice B rationale

Unexpected placental implantation is not a feature of eclampsia. Eclampsia is related to the development of seizures in the context of preeclampsia, which involves high blood pressure and organ damage.

Choice C rationale

Increased uterine spiral artery remodeling is associated with the pathophysiology of eclampsia. Poor remodeling leads to inadequate blood flow to the placenta, contributing to the development of hypertension and related complications.

Choice D rationale

Vasodilation is not typically associated with eclampsia. Instead, vasoconstriction and endothelial dysfunction are more common, leading to high blood pressure and potential organ damage.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from the electronic health records (EHR) of a group of clients before their prenatal visits. Which of the following clients should the nurse identify as at risk for hypothyroidism?

Correct Answer is C

Explanation

A nurse is assisting in the care of a client who has eclampsia. Which of the following changes should the nurse recognize as being associated with eclampsia?

Correct Answer is C

Explanation

A nurse is preparing to administer vitamin K 1mg IM to a newborn. Available is vitamin K injection 1 mg/0.5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is collecting data from the perineal pad of a client who is 3 days postpartum. The nurse last checked the perineal pad 1 hour ago. There is 2 cm of red lochia on the pad. Which of the following correctly documents the nurse's finding?

A nurse is providing discharge teaching for a client following surgery for a molar pregnancy. Which of the following client statements indicates an understanding of the discharge teaching?

A nurse is reinforcing discharge instructions to a client who is 24 hr postpartum and has reported urge incontinence. Which of the following should the nurse reinforce as a first referral to treat the client?

A nurse is preparing an in-service program about preventing medication errors when transcribing a prescription.

A nurse is caring for a client who is postpartum. Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?

The patient's blood sugar level was 152 mg per dL at 1700 hr. How much insulin should be given using the following insulin sliding scale?

A nurse is assisting in the care of a newborn who is scheduled for a heel stick for genetic screening. Which of the following actions by the nurse demonstrates correct pain relief techniques for newborns?