Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension?
Baseline BP 140/85, current BP 129/80
Baseline BP 110/70, current BP 145/85
Baseline BP 120/80, current BP 126/85
Baseline BP 110/60, current BP 120/63
The Correct Answer is B
Choice A rationale
This is incorrect because a decrease in BP from the baseline is not a sign of pregnancy-induced hypertension. A normal BP during pregnancy is less than 140/90 mm Hg. A baseline BP of 140/85 mm Hg indicates pre-existing hypertension, which may or may not worsen during pregnancy. A current BP of 129/80 mm Hg indicates an improvement in the BP control, but not a risk for pregnancy-induced hypertension.
Choice B rationale
This is correct because an increase in BP from the baseline by 30 mm Hg systolic or 15 mm Hg diastolic is a sign of pregnancy-induced hypertension. A normal BP during pregnancy is less than 140/90 mm Hg. A baseline BP of 110/70 mm Hg indicates a normal BP before pregnancy. A current BP of 145/85 mm Hg indicates a significant elevation in the BP, which could lead to complications such as preeclampsia, eclampsia, or placental abruption.
Choice C rationale
This is incorrect because a slight increase in BP from the baseline is not a sign of pregnancy-induced hypertension. A normal BP during pregnancy is less than 140/90 mm Hg. A baseline BP of 120/80 mm Hg indicates a normal BP before pregnancy. A current BP of 126/85 mm Hg indicates a minor elevation in the BP, which is within the normal range and does not pose a risk for pregnancy-induced hypertension.
Choice D rationale
This is incorrect because a slight increase in BP from the baseline is not a sign of pregnancy-induced hypertension. A normal BP during pregnancy is less than 140/90 mm Hg. A baseline BP of 110/60 mm Hg indicates a normal BP before pregnancy. A current BP of 120/63 mm Hg indicates a minor elevation in the systolic BP, but a decrease in the diastolic BP, which is within the normal range and does not pose a risk for pregnancy-induced hypertension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
This option incorrectly counts the number of term births and preterm births. The woman has had one term birth (at 39 weeks) and two preterm births (twins at 34 weeks and another child at 35 weeks).
Choice B rationale
This option incorrectly counts the number of pregnancies and term births. The woman has been pregnant four times, not three, and she has had one term birth, not one.
Choice C rationale
This option incorrectly counts the number of pregnancies, term births, and preterm births. The woman has been pregnant four times, not three, and she has had one term birth and two preterm births, not three.
Choice D rationale
This is the correct option. The woman has been pregnant four times (Gravida = 4). She has had one term birth (Term = 1), two preterm births (Preterm = 2), no abortions (Abortions = 0), and four living children (Living = 4)¹².
Correct Answer is D
Explanation
Choice A rationale
This is incorrect because 3 cm above the umbilicus is not the expected location for the fundus at 22 weeks of gestation. The fundus is the upper part of the uterus that can be felt by abdominal palpation. The fundal height is measured from the symphysis pubis to the top of the fundus. The fundal height usually corresponds to the gestational age in weeks, plus or minus 2 cm. Therefore, at 22 weeks of gestation, the fundal height should be around 22 cm, which is slightly above the umbilicus.
Choice B rationale
This is incorrect because 3 cm below the umbilicus is not the expected location for the fundus at 22 weeks of gestation. The fundus is the upper part of the uterus that can be felt by abdominal palpation. The fundal height is measured from the symphysis pubis to the top of the fundus. The fundal height usually corresponds to the gestational age in weeks, plus or minus 2 cm. Therefore, at 22 weeks of gestation, the fundal height should be around 22 cm, which is slightly above the umbilicus.
Choice C rationale
This is incorrect because slightly below the umbilicus is not the expected location for the fundus at 22 weeks of gestation. The fundus is the upper part of the uterus that can be felt by abdominal palpation. The fundal height is measured from the symphysis pubis to the top of the fundus. The fundal height usually corresponds to the gestational age in weeks, plus or minus 2 cm. Therefore, at 22 weeks of gestation, the fundal height should be around 22 cm, which is slightly above the umbilicus.
Choice D rationale
This is correct because slightly above the umbilicus is the expected location for the fundus at 22 weeks of gestation. The fundus is the upper part of the uterus that can be felt by abdominal palpation. The fundal height is measured from the symphysis pubis to the top of the fundus. The fundal height usually corresponds to the gestational age in weeks, plus or minus 2 cm. Therefore, at 22 weeks of gestation, the fundal height should be around 22 cm, which is slightly above the umbilicus.
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