Signs and symptoms of preeclampsia with severe features include (Select all that apply):

Elevated liver function tests

Unremitting headache

Rising protein in sequential 24-hour urine

Increased urine output

Pain in the left upper quadrant

BP > 160/110

Answer and Explanation

Correct Answer : A,B,C,E,F

Choice A: Elevated liver function tests indicate liver damage, which is a complication of preeclampsia with severe features.

Choice B: Unremitting headache is a sign of increased intracranial pressure, which can result from cerebral edema or hemorrhage caused by preeclampsia with severe features.

Choice C: Rising protein in sequential 24-hour urine reflects the degree of glomerular damage and renal impairment caused by preeclampsia with severe features.

Choice D: Increased urine output is not a sign of preeclampsia with severe features. In fact, oliguria (decreased urine output) may occur due to reduced renal perfusion and acute kidney injury.

Choice E: Pain in the left upper quadrant is a sign of splenic rupture or subcapsular hematoma, which are rare but life-threatening complications of preeclampsia with severe features.

Choice F: BP > 160/110 is one of the diagnostic criteria for preeclampsia with severe features, as it indicates severe hypertension and increased risk of maternal and fetal complications.

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Correct Answer is A

Explanation

A. Ask the client to empty her bladder. B. Report the client's temperature elevation. C. Increase IV fluids. D. Massage the fundus.

Correct Answer is A

Explanation

Choice A reason: This is the correct action because a full bladder can cause the uterus to be displaced and prevent it from contracting properly, leading to uterine atony and excessive bleedinG. Asking the client to empty her bladder can help the fundus to return to the midline and reduce the lochiA.

Choice B reason: This is not the correct action because the client's temperature is within the normal range for the first 24 hours postpartum. A slight elevation in temperature can be due to dehydration, exertion, or milk production. The nurse should monitor the client's temperature and encourage fluid intake, but it is not a priority action.

Choice C reason: This is not the correct action because increasing IV fluids can cause fluid overload and worsen the bleedinG. The nurse should assess the client's fluid status and adjust the IV rate accordingly, but it is not a priority action.

Choice D reason: This is not the correct action because massaging the fundus can cause more bleeding and pain. The nurse should only massage the fundus if it is not firm and contracteD. Massaging a boggy fundus can help expel clots and reduce bleeding, but it is not indicated for a deviated fundus.

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Signs and symptoms of preeclampsia with severe features include (Select all that apply):

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who experienced a vaginal birth 2 hours ago. The nurse should identify that which of the following findings places the client at risk for a postpartum hemorrhage?

Correct Answer is A

Explanation

Correct Answer is A

Explanation

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