A woman who is 32 weeks pregnant presents to the clinic. The nurse suspects preeclampsia. Which of the following findings support this diagnosis? (Select All that Apply.)

Mild fatigue after walking

Mild headache with blurred vision

150/95 mmHg blood pressure

Sudden weight loss

+2 protein in the urine

Answer and Explanation

Correct Answer : B,C,E

A. Mild fatigue after walking is a common symptom in normal pregnancy and is not specific to preeclampsia. Fatigue alone does not indicate hypertension or organ involvement.

B. Headache with blurred vision is a classic symptom of preeclampsia, indicating possible cerebral involvement due to elevated blood pressure and vasospasm. Persistent or severe headache should always be evaluated in the context of preeclampsia.

C. Blood pressure ≥140/90 mmHg after 20 weeks gestation in a previously normotensive woman is one of the diagnostic criteria for preeclampsia. This patient’s reading of 150/95 mmHg supports the diagnosis.

D. Sudden weight loss is not a feature of preeclampsia. On the contrary, rapid weight gain due to fluid retention is often seen in preeclampsia.

E. Proteinuria (+1 or higher on a urine dipstick or ≥300 mg/24 hours) is another hallmark of preeclampsia. +2 proteinuria indicates significant renal involvement, supporting the diagnosis.

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Correct Answer is ["A","B","E"]

Explanation

A. Hemolysis occurs due to microvascular endothelial damage, which leads to fragmentation and destruction of red blood cells. Laboratory evidence includes elevated lactate dehydrogenase (LDH >600 U/L), elevated indirect bilirubin, and decreased haptoglobin. This contributes to fatigue, malaise, and jaundice in severe cases.

B. Elevated liver enzymes indicate hepatocellular injury caused by microvascular damage. Laboratory evidence includes AST >70 U/L and mildly to moderately elevated ALT. This liver damage correlates with right upper quadrant or epigastric pain and may also lead to nausea and vomiting.

C. Although often present, severe hypertension is not required for diagnosis. Some women with HELLP may have only mild or normal blood pressure, so elevated blood pressure alone cannot confirm the syndrome.

D. Hyperglycemia is unrelated; blood glucose levels are usually normal in HELLP syndrome. Elevated glucose may suggest another metabolic disorder such as gestational diabetes.

E. Low platelets occur due to platelet aggregation and consumption in the damaged microvasculature. Laboratory evidence includes platelet counts <100,000/mm³. This increases the risk for bleeding, bruising, and complications during delivery.

A. "Rho(D) immune globulin is only given after delivery, so you don't need it now." B. "You only need Rho(D) immune globulin after your second pregnancy" C. You will receive Rho(D) immune globulin monthly during pregnancy and then after 72 hours after delivery" D. "You will receive Rho(D) immune globulin at 28 weeks of pregnancy and again within 72 hours after delivery if your baby is Rh-positive to prevent your immune system from becoming sensitized."

Correct Answer is D

Explanation

A. Rho(D) immune globulin is not given only after delivery. Administering it after delivery alone prevents sensitization for future pregnancies but does not provide prophylaxis during the current pregnancy.

B. The woman does not only receive Rho(D) immune globulin after her second pregnancy. Prophylaxis is necessary during the current pregnancy if she is Rh-negative and the fetus is at risk of being Rh-positive.

C. Rho(D) immune globulin is not given monthly during pregnancy. Standard prophylaxis involves a scheduled dose at 28 weeks gestation, with an additional dose postpartum if the newborn is Rh-positive. More frequent dosing is only indicated if there is a significant risk of fetal-maternal hemorrhage (e.g., miscarriage, trauma, amniocentesis).

D. The recommended schedule for Rh-negative women without prior sensitization is to receive a prophylactic dose of Rho(D) immune globulin at 28 weeks gestation and again within 72 hours after delivery if the newborn is Rh-positive. This prevents the mother’s immune system from producing antibodies against Rh-positive fetal red blood cells, reducing the risk of hemolytic disease in current or future pregnancies. Administration is also indicated after events that increase fetal-maternal blood mixing.

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A woman who is 32 weeks pregnant presents to the clinic. The nurse suspects preeclampsia. Which of the following findings support this diagnosis? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

A 33-week pregnant client presents with severe right upper quadrant pain, nausea, and malaise. The provider suspects HELLP syndrome. Which combination of laboratory findings would confirm the diagnosis? (Select All that Apply.)

Correct Answer is ["A","B","E"]

Explanation

A 30-year-old Rh-negative pregnant woman is at 17 weeks gestation and has an Rh-positive partner. She has had no prior sensitization. She asks the nurse when she will receive Rho(D) immune globulin. Which of the following is the best response?

Correct Answer is D

Explanation

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