Sarah, a 34-year-old pregnant woman, has had a blood pressure consistently ranging from 140/90 to 160/98 since she was 26. Her weight gain and urinalysis have been normal.

What is this condition called? At 32 weeks’ gestation, Sarah experiences a seizure.

Her blood pressure has been elevated since 28 weeks, her urine dipstick shows 4+ protein, and she exhibits generalized edema.

What is this condition called?

Gestational hypertension; preeclampsia

Chronic hypertension; eclampsia

Gestational hypertension; eclampsia

Chronic hypertension; HELLP Syndrome

Answer and Explanation

The Correct Answer is B

Choice A rationale
Gestational hypertension is characterized by high blood pressure that develops after 20 weeks of pregnancy and typically resolves within a few weeks postpartum. Preeclampsia is a pregnancy complication characterized by high blood pressure and signs of kidney damage.
However, Sarah’s condition does not fit this description because her blood pressure has been consistently high since she was 26, not just during pregnancy.
Choice B rationale
Chronic hypertension refers to high blood pressure before pregnancy or early in pregnancy. Eclampsia is a severe form of preeclampsia that causes seizures. Given Sarah’s history of consistent high blood pressure since age 26 and her recent seizure at 32 weeks’ gestation, this choice fits her condition.
Choice C rationale
Gestational hypertension refers to high blood pressure that begins during pregnancy. Eclampsia is a severe form of preeclampsia that causes seizures. However, Sarah’s high blood pressure did not begin during pregnancy, making this choice incorrect.
Choice D rationale
Chronic hypertension refers to high blood pressure before pregnancy or early in pregnancy. HELLP Syndrome (Hemolysis, Elevated Liver enzyme levels, and Low Platelet levels) is a serious health condition that can affect pregnant women3. However, Sarah’s symptoms do not indicate HELLP Syndrome, making this choice incorrect.

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Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale
Vomiting is not a common side effect of epidural anesthesia. Nausea can occur, but it is usually associated with the opioids used in the epidural, not the epidural itself.
Choice B rationale
Tachycardia, or a rapid heart rate, is not a typical side effect of epidural anesthesia. In fact, an epidural can sometimes cause a drop in heart rate, known as bradycardia.
Choice C rationale
Hypotension, or low blood pressure, is a common side effect of epidural anesthesia. The medication used in the epidural can cause blood vessels to relax, which can lower blood pressure.
Choice D rationale
Respiratory depression is not a common side effect of epidural anesthesia. The medication used in an epidural primarily affects the nerves in the lower body, so it does not typically impact breathing. Digoxin Digoxin Explore

A. Evaluate the firmness of the uterus. B. Oxygenate by rebreather mask. C. Administer oxytocin infusion. D. Obtain a type and crossmatch.

Correct Answer is A

Explanation

Choice A rationale
Evaluating the firmness of the uterus is the first action the nurse should take when a client’s blood pressure is 60/50 mm Hg after giving birth. A soft or “boggy” uterus can indicate uterine atony, a condition in which the uterus fails to contract after birth. Uterine atony can lead to significant postpartum hemorrhage, which can cause hypotension.
Choice B rationale
Oxygenating by rebreather mask may be necessary if the client shows signs of hypoxia or difficulty breathing, but it is not the first action the nurse should take.
Choice C rationale
Administering oxytocin infusion can stimulate uterine contractions and help control postpartum bleeding. However, the nurse should first assess the firmness of the uterus.
Choice D rationale
Obtaining a type and crossmatch may be necessary if the client needs a blood transfusion, but it is not the first action the nurse should take.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a patient in labor who has received epidural anesthesia for pain management. What should the nurse recognize as a potential complication from the epidural block?

Correct Answer is C

Explanation

A nurse is caring for a client who gave birth 2 hr ago. The nurse notes that the client’s blood pressure is 60/50 mm Hg. What is the first action the nurse should take?

Correct Answer is A

Explanation

A nurse is formulating a care plan for an infant diagnosed with spina bifida who is scheduled for a surgical closure of the myelomeningocele sac. Which of the following interventions should be incorporated into the care plan?

A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is admitting a client who is at 33 weeks of gestation and has a diagnosis of placenta previa. What is the priority nursing action?

A nurse is caring for a newborn and hears an apical heart rate of 130/min. What should the nurse do next?

A nurse is preparing to measure an infant’s vital signs. Which of the following sites should the nurse use to assess the heart rate?

A nurse is discharging a child who has recovered from an acute crisis episode of sickle cell anemia. What instructions should the nurse include in the teaching?

A nurse is caring for a laboring patient with an external fetal monitor. The nurse notices late decelerations on the monitor strip. What does the nurse interpret this as indicating?