A nurse is providing discharge instructions to a client who had pre-eclampsia and delivered a healthy baby.
Which statement by the client indicates a need for further teaching?
“I will monitor my blood pressure at home for the next few weeks.”
“I will report any headache, vision changes, or abdominal pain to my doctor.”
“I will resume my normal activities as soon as I get home.”
“I will continue to take my prenatal vitamins and iron supplements.”
The Correct Answer is C
The client should not resume normal activities as soon as she gets home because she is still at risk for complications from preeclampsia. She should rest as directed by her healthcare provider and avoid strenuous activities that may increase her blood pressure.
Choice A is wrong because monitoring blood pressure at home is a recommended practice for clients who had preeclampsia. It can help detect any signs of worsening hypertension or organ damage.
Choice B is wrong because reporting any headache, vision changes, or abdominal pain to the doctor is a crucial step to prevent serious complications from preeclampsia. These symptoms may indicate damage to the brain, eyes, or liver and require immediate medical attention.
Choice D is wrong because continuing to take prenatal vitamins and iron supplements is beneficial for the client’s recovery and health. Prenatal vitamins can provide essential nutrients that may be lacking in the diet, and iron supplements can prevent or treat anemia that may result from blood loss during delivery.
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Related Questions
Correct Answer is C
Explanation
This is because bed rest can lower blood pressure and improve blood flow to the placenta and the fetus.The left lateral position reduces pressure on the inferior vena cava, a large vein that carries blood from the lower body to the heart.
Choice A is wrong because magnesium sulfate is used to prevent seizures in severe preeclampsia or eclampsia, not mild preeclampsia.
Choice B is wrong because monitoring the fetal heart rate and movement is important, but not the priority for this client.
Choice D is wrong because educating the client about the signs of eclampsia is not urgent and may not prevent the progression of preeclampsia.Some signs of eclampsia are severe headaches, blurred vision, nausea, vomiting, abdominal pain and seizures.
Correct Answer is A
Explanation
Report any headache that is not relieved by acetaminophen.This is because a headache that persists despite taking pain medication can be a sign of increased blood pressure or brain swelling, which are serious complications of preeclampsia.
Choice B is wrong because some vaginal bleeding for up to 6 weeks postpartum is normal and expected for any woman who has given birth, regardless of whether she had preeclampsia or not.
Choice C is wrong because resuming sexual activity as soon as you feel comfortable is also a normal recommendation for any woman who has given birth, unless there are other medical reasons to avoid it.
Choice D is wrong because drinking at least 3 liters of fluid per day to prevent dehydration is not necessary for a woman who had preeclampsia.In fact, drinking too much fluid can worsen the swelling and fluid retention that are common in preeclampsia.
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