A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?
Blood pressure 160/115
Anasarca
Proteinuria 3+
Deep tendon reflexes
The Correct Answer is D
a. This is a sign of severe preeclampsia.
b. This is a sign of severe preeclampsia.
c. This is a sign of severe preeclampsia.
d. Deep tendon reflexes are not affected by preeclampsia, which is a hypertensive disorder of pregnancy characterized by high blood pressure, proteinuria, and edema.
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Related Questions
Correct Answer is D
Explanation
a. Ectopic pregnancy occurs outside the uterus, so uterine enlargement is not expected.
b. Vaginal bleeding may occur but is not specific to ectopic pregnancy.
c. These symptoms are nonspecific and can occur in various conditions, including ectopic pregnancy, but they are not specific to it.
d. This is a classic symptom of ectopic pregnancy and occurs due to the stretching of the fallopian tube or rupture.
Correct Answer is C
Explanation
a. Braxton Hicks contractions are normal and do not require admission to the labor and delivery unit.
b. Braxton Hicks contractions are normal and do not require bed rest.
c. This is the most appropriate action as Braxton Hicks contractions are normal and may occur throughout the pregnancy.
d. Braxton Hicks contractions are normal and do not require contact with the health care provider.
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