A nurse is preparing a client with gestational hypertension for delivery.
Which of the following factors would indicate that the client is ready for delivery?
Blood pressure is uncontrollable despite medication
Fetal distress is detected by nonstress test or biophysical profile
Term is reached (37 weeks or more)
All of the above
The Correct Answer is D
The correct answer is choice D. All of the above.
All of these factors would indicate that the client is ready for delivery because they pose a risk to the mother or the fetus or both.
Choice A is wrong because blood pressure that is uncontrollable despite medication can lead to complications such as preeclampsia, eclampsia, or HELLP syndrome.
Choice B is wrong because fetal distress detected by nonstress test or biophysical profile can indicate hypoxia, acidosis, or cord compression.
Choice C is wrong because term is reached (37 weeks or more) does not necessarily mean that the client is ready for delivery. Other factors such as cervical dilation, effacement, and station also need to be considered.
Normal ranges for blood pressure are 120/80 mmHg or lower for systolic and 80/60 mmHg or lower for diastolic. Normal ranges for nonstress test are two or more fetal heart rate accelerations of at least 15 beats per minute above baseline lasting at least 15 seconds in a 20-minute period. Normal ranges for biophysical profile are a score of 8 to 10 out of 10 based on five parameters: fetal breathing movements, fetal movements, fetal tone, amniotic fluid volume, and nonstress test.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C. Avoid foods high in sodium such as canned soups and processed meats.This is because sodium can increase blood pressure and fluid retention, which are complications of gestational hypertension.
Choice A is wrong because increasing calcium intake does not prevent bone loss in gestational hypertension.Calcium supplementation may be beneficial for preventing preeclampsia, which is a more severe form of gestational hypertension.
Choice B is wrong because limiting fluid intake to 1 liter per day can cause dehydration and electrolyte imbalance, which can harm both the mother and the fetus.Fluid intake should be adequate to maintain hydration and urine output.
Choice D is wrong because eating foods rich in iron is not related to gestational hypertension.
Iron intake may be important for preventing anemia, which can occur in pregnancy due to increased blood volume and fetal demands.
Correct Answer is B
Explanation
The correct answer is choice B. To prevent seizures.Magnesium sulfate is a medication that is used to prevent seizures in women with gestational hypertension or preeclampsia.
Seizures can be life-threatening for both the mother and the baby.Magnesium sulfate also has a mild antihypertensive effect, but it is not the main purpose of administering this medication.
Choice A is wrong because magnesium sulfate does not lower blood pressure significantly.Other antihypertensive drugs, such as hydralazine, are used to control blood pressure in women with gestational hypertension or preeclampsia.
Choice C is wrong because magnesium sulfate does not induce labor.It may actually delay labor by relaxing the uterine muscles.Other medications, such as oxytocin, are used to induce labor when needed.
Choice D is wrong because magnesium sulfate does not increase urine output.It may actually decrease urine output by causing fluid retention and renal impairment.Urine output should be monitored closely in women receiving magnesium sulfate to detect signs of toxicity.
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