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 A

Explanation

Choice A rationale

Pelvic floor physical therapy helps strengthen the pelvic floor muscles, which can significantly reduce or eliminate urge incontinence in postpartum clients. These specialized exercises target muscle control and bladder function, providing a non-invasive first-line treatment.

Choice B rationale

A urologist specializes in the urinary tract system, but referral is usually not the first step. Initial non-invasive interventions, such as pelvic floor therapy, are typically recommended before consulting a specialist.

Choice C rationale

Sports medicine focuses on physical fitness and the treatment of sports-related injuries. It is not the appropriate referral for treating postpartum urge incontinence, which specifically involves the pelvic floor muscles and urinary system.

Choice D rationale

A primary care physician can provide general medical care, but specialized interventions like pelvic floor therapy are more effective for addressing the specific issue of urge incontinence postpartum.

A. The client who tested positive for a mutation of the GDF15 gene. B. The client whose TSH levels are low and whose T4 levels are currently elevated. C. The client who was diagnosed with Hashimoto's disease. D. The client who tested positive for Helicobacter pylori infection.

Correct Answer is C

Explanation

Choice A rationale

While mutations in certain genes can increase the risk of various conditions, a positive test for a mutation of the GDF15 gene is not specifically associated with hypothyroidism.

Choice B rationale

Low TSH and elevated T4 levels typically indicate hyperthyroidism, not hypothyroidism. Hypothyroidism is characterized by high TSH and low T4 levels.

Choice C rationale

Hashimoto's disease is an autoimmune disorder that destroys thyroid tissue, leading to hypothyroidism due to reduced thyroid hormone production.

Choice D rationale

Helicobacter pylori infection is associated with gastrointestinal issues, but it is not directly linked to an increased risk of hypothyroidism.

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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?