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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
G6PD deficiency is an inherited condition affecting red blood cells but does not increase the risk of postpartum hemorrhage.
Choice B rationale
Von Willebrand disease is a bleeding disorder that can lead to excessive bleeding, increasing the risk of postpartum hemorrhage due to impaired blood clotting.
Choice C rationale
History of hyperemesis gravidarum is associated with severe nausea and vomiting in pregnancy but does not increase the risk of postpartum hemorrhage.
Choice D rationale
Peripheral artery disease affects blood flow to the limbs and does not directly increase the risk of postpartum hemorrhage.
Correct Answer is D
Explanation
Choice A rationale
The client will be positioned in a prone position is incorrect because the prone position is not used for fetal anatomy ultrasounds.
Choice B rationale
The ultrasound will occur at 13 weeks of gestation is incorrect as the typical timing for a detailed fetal anatomy scan is around 18-22 weeks of gestation, not 13 weeks.
Choice C rationale
The ultrasound will be transvaginal is incorrect because at 20 weeks of gestation, a transabdominal ultrasound is more commonly used rather than a transvaginal one.
Choice D rationale
The client must have a full bladder is correct because a full bladder helps lift the uterus out of the pelvis, providing a clearer view during the ultrasound.
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