A nurse is reviewing the electronic health record (EHR) of a client at 36 weeks of gestation.
Which of the following findings should the nurse identify as placing the client at high risk for developing preeclampsia?

BMI of 28.

Age of 24.

Gestational hypertension.

Gravida 3 Para 2.

Answer and Explanation

The Correct Answer is C

Choice A rationale

A BMI of 28 is considered overweight, which can be a risk factor for preeclampsia but is not as strong an indicator as gestational hypertension. BMI alone does not automatically place someone at high risk.

Choice B rationale

Age of 24 is within the typical childbearing age range and is not considered a high-risk factor for preeclampsia. Extremes of maternal age (below 18 or above 35) are more significant risk factors.

Choice C rationale

Gestational hypertension is a significant risk factor for developing preeclampsia. It indicates elevated blood pressure during pregnancy, which can lead to preeclampsia if not managed properly.

Choice D rationale

Gravida 3 Para 2 indicates a woman who has had two previous pregnancies carried to viable gestational age. While multiparity can influence pregnancy outcomes, it is not a direct high-risk factor for preeclampsia like gestational hypertension is. .

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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.

A. Feed the newborn water during the procedure. B. Place the newborn's arms and legs in flexion and close to the midline of the torso. C. Place the newborn supine during the procedure. D. Elevate the newborn's head during the procedure.

Correct Answer is B

Explanation

Choice A rationale

Feeding the newborn water during the procedure is incorrect because water does not provide effective pain relief during procedures.

Choice B rationale

Placing the newborn's arms and legs in flexion and close to the midline of the torso is correct as this position, known as facilitated tucking, provides comfort and can help reduce pain.

Choice C rationale

Placing the newborn supine during the procedure is incorrect because it does not provide any specific pain relief benefits.

Choice D rationale

Elevating the newborn's head during the procedure is not specifically related to pain relief but is more about positioning for ease of access. .

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A nurse is reviewing the electronic health record (EHR) of a client at 36 weeks of gestation. Which of the following findings should the nurse identify as placing the client at high risk for developing preeclampsia?

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A nurse is reviewing the electronic health record (EHR) of a client at 36 weeks of gestation.
Which of the following findings should the nurse identify as placing the client at high risk for developing preeclampsia?