A nurse is reviewing the risk factors for gestational hypertension with a group of pregnant clients at a prenatal clinic.

Which of the following factors should the nurse include? (Select all that apply.).

Maternal age over 35 years

First pregnancy

Multiple gestation

History of diabetes mellitus

African American race

Answer and Explanation

Correct Answer : A,B,C,E

The correct answer is choice A, B, C and E. These are all risk factors for gestational hypertension according to various sources.

Some possible explanations for each choice are:

• Choice A: Maternal age over 35 years. Older women are more likely to have chronic hypertension, diabetes, or other conditions that increase the risk of gestational hypertension.

• Choice B: First pregnancy. Women who are pregnant for the first time are more likely to develop gestational hypertension than women who have had previous pregnancies.

• Choice C: Multiple gestation. Women who are carrying twins, triplets, or more are more likely to have gestational hypertension because of the increased placental mass and blood volume.

• Choice D: History of diabetes mellitus. This is not a risk factor for gestational hypertension, but it is a risk factor for preeclampsia, which is a more severe form of hypertension that involves proteinuria and organ damage.

Preeclampsia can develop from gestational hypertension or occur independently.

• Choice E: African American race. African American women are more likely to have gestational hypertension than women of other races or ethnicities.

This may be due to genetic, environmental, or social factors that affect blood pressure regulation.

Normal ranges for blood pressure during pregnancy are less than 140/90 mmHg. Gestational hypertension is diagnosed when blood pressure is greater than or equal to 140/90 mmHg after 20 weeks of pregnancy and there is no proteinuria or other signs of preeclampsia. Gestational hypertension usually goes away after delivery, but it can increase the risk of complications for both the mother and the baby.

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Correct Answer is ["A","B","C","D"]

Explanation

The correct answer is choice A, B, C and D.These choices reflect the laboratory findings that are expected in a client who has HELLP syndrome.HELLP syndrome is a rare pregnancy complication that is a type of preeclampsia and has similar symptoms.It can cause serious blood and liver problems.

Choice A is correct because hemoglobin of 9 g/dL indicates hemolysis, which is the breaking down of red blood cells.The normal range of hemoglobin for pregnant women is 11 to 16 g/dL.

Choice B is correct because platelets of 90,000/mm3 indicate thrombocytopenia, which is a low platelet count.The normal range of platelets for pregnant women is 150,000 to 400,000/mm3.

Choice C is correct because AST of 120 U/L indicates elevated liver enzymes, which reflect liver injury.The normal range of AST for pregnant women is 10 to 40 U/L.

Choice D is correct because LDH of 600 U/L indicates elevated lactate dehydrogenase, which is a marker of hemolysis.The normal range of LDH for pregnant women is 140 to 280 U/L.

Choice E is wrong because WBC of 15,000/mm3 indicates leukocytosis, which is not a feature of HELLP syndrome.The normal range of WBC for pregnant women is 5,000 to 15,000/mm3.

A. Bradycardia B. Hypotension C. Hyperkalemia D. Hyperglycemia

Correct Answer is B

Explanation

Methyldopa is a drug that lowers blood pressure by reducing the activity of the sympathetic nervous system.

One of the possible side effects of methyldopa is hypotension, which means abnormally low blood pressure.Hypotension can cause dizziness, fainting, and shock.

Choice A) Bradycardia is wrong because methyldopa does not affect the heart rate directly.Bradycardia means a slow heart rate, which can be caused by other drugs or conditions.

Choice C) Hyperkalemia is wrong because methyldopa does not affect the potassium levels in the blood.Hyperkalemia means high potassium levels, which can be caused by kidney problems or other drugs.

Choice D) Hyperglycemia is wrong because methyldopa does not affect the glucose levels in the blood.Hyperglycemia means high glucose levels, which can be caused by diabetes or other conditions.

Normal ranges for blood pressure are 90/60 mmHg to 120/80 mmHg, for heart rate are 60 to 100 beats per minute, for potassium are 3.5 to 5.0 mmol/L, and for glucose are 70 to 100 mg/dL.

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A nurse is reviewing the risk factors for gestational hypertension with a group of pregnant clients at a prenatal clinic. Which of the following factors should the nurse include? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing laboratory results for a client who has HELLP syndrome. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is caring for a client with gestational hypertension who has been prescribed methyldopa (Aldomet) to control blood pressure during pregnancy. Which of the following side effects should the nurse monitor for?

Correct Answer is B

Explanation

A nurse is caring for a client who has severe preeclampsia and is receiving hydralazine IV bolus for blood pressure management. Which of the following adverse effects should the nurse monitor for? (Select all that apply.)

Which of the following interventions should be included in the plan of care for a client with severe preeclampsia? (Select all that apply.)

(Select all that apply). A nurse is providing discharge teaching to a client with gestational hypertension who delivered a healthy baby two days ago. Which of the following statements by the client would indicate a need for further teaching?

Which of the following signs and symptoms may indicate worsening condition or preeclampsia in a client with gestational hypertension?

What is a priority nursing intervention for a woman with severe preeclampsia who is receiving hydralazine IV.

A nurse is reviewing the laboratory results of a client with gestational hypertension who has been diagnosed with HELLP syndrome. Which of the following findings would the nurse expect to see?

A nurse is caring for a client with gestational hypertension who is at risk for developing preeclampsia. Which of the following interventions should the nurse implement to prevent this complication? (Select all that apply.).

A nurse is caring for a client with gestational hypertension who has been prescribed labetalol (Normodyne) to control blood pressure during pregnancy. Which of the following statements by the client indicates an understanding of the medication?

A nurse is reviewing the risk factors for gestational hypertension with a group of pregnant clients at a prenatal clinic.

Which of the following factors should the nurse include? (Select all that apply.).