The home care nurse visits a pregnant client who has a diagnosis of mild preeclampsia. Which assessment finding indicates a worsening of the preeclampsia and the need to notify the primary health care provider (PHCP)?

Blood pressure reading is at the prenatal baseline.

Dependent edema has resolved.

Urinary output has increased.

The client complains of a headache and blurred vision.

Answer and Explanation

The Correct Answer is D

A. Blood pressure reading is at the prenatal baseline. If blood pressure remains stable, it does not indicate worsening preeclampsia.

B. Dependent edema has resolved. A decrease in edema suggests an improvement, not worsening, of preeclampsia.

C. Urinary output has increased. Decreased urinary output is concerning in preeclampsia, while increased output suggests better kidney function.

D. The client complains of a headache and blurred vision. These are signs of severe preeclampsia, indicating possible cerebral edema or hypertensive crisis, which requires immediate medical attention.

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

Explanation

A. Weight loss: Severe and prolonged nausea/vomiting leads to weight loss (>5% of pre-pregnancy weight). This is a key feature of hyperemesis gravidarum.

B. Abdominal cramping: Hyperemesis gravidarum does not cause abdominal cramping. Cramping is more associated with miscarriage, ectopic pregnancy, or gastrointestinal conditions.

C. Severe vomiting: Persistent, severe vomiting is the hallmark sign of hyperemesis gravidarum. It is much more severe than typical morning sickness and leads to dehydration and nutritional deficiencies.

D. Electrolyte imbalance: Prolonged vomiting leads to dehydration and loss of essential electrolytes (e.g., hypokalemia, hyponatremia, metabolic alkalosis).

E. Vaginal blood spotting: Hyperemesis gravidarum does not cause vaginal bleeding. Vaginal spotting could indicate a miscarriage or another obstetric complication.

A. Parity B. Postpartum C. Primigravida D. Presentation

Correct Answer is A

Explanation

A. Parity: In GPTAL (Gravida, Parity, Term, Abortions, Living children), "P" refers to parity, which indicates the number of pregnancies carried to 20 weeks or beyond, regardless of outcome.

B. Postpartum: "Postpartum" refers to the period after childbirth and is not part of the GPTAL system.

C. Primigravida: Primigravida refers to a woman who is pregnant for the first time, which is represented by "G" (Gravida) in GPTAL, not "P."

D. Presentation: "Presentation" refers to the fetal part entering the birth canal first (e.g., cephalic, breech) and is unrelated to GPTAL.

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The home care nurse visits a pregnant client who has a diagnosis of mild preeclampsia. Which assessment finding indicates a worsening of the preeclampsia and the need to notify the primary health care provider (PHCP)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client at 10 weeks of gestation who has been diagnosed with hyperemesis gravidarum. Which of the following manifestations should the nurse expect? (Select all that apply.)

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

Explanation

In labor, GPTAL is used to assess the client's obstetric history. What does the 'P' in GPTAL stand for?

Correct Answer is A

Explanation

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