Rho immune globulin will be ordered after birth if which situation occurs?

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.

A. Referred pain occurs when pain is perceived in an area different from the site of the actual tissue damage (e.g., shoulder pain from gallbladder disease). In this scenario, the pain is localized to the joints, not referred, so this is incorrect.

B. Procedural pain is short-term pain associated with medical procedures such as injections, IV insertions, or surgeries. Persistent joint pain lasting 4 months is not related to a procedure, so this is incorrect.

C. Chronic pain is defined as pain that persists longer than 3 months or beyond the expected period of healing. This 13-year-old has had joint pain for 4 months, meeting the criteria for chronic pain. Chronic pain in juvenile arthritis can affect physical activity, school performance, and psychosocial well-being, and requires long-term management strategies.

D. Acute pain is short-term, sudden in onset, and usually associated with tissue injury or inflammation, typically resolving within days to weeks. Pain lasting 4 months exceeds the acute timeframe, so this is incorrect.