Signs and symptoms

Signs and symptoms ( 5 Questions)

Question 1 :

A nurse is assessing a pregnant woman with gestational hypertension.

Which of the following symptoms would lead the nurse to suspect that the client has developed severe preeclampsia?



Correct Answer: D

Hyperreflexia is a sign of severe preeclampsia, which is a complication of gestational hypertension that can affect the mother and the fetus. Hyperreflexia means having exaggerated reflexes that can cause muscle spasms or jerks. It can indicate increased nervous system activity due to high blood pressure.

A. Urine protein 300 mg/24 hours. This statement is wrong because urine protein 300 mg/24 hours is within the normal range for pregnant women. Proteinuria, which is a sign of preeclampsia, is defined as urine protein more than 300 mg/24 hours.

B. Blood pressure 150/96 mm Hg.

This statement is wrong because blood pressure 150/96 mm Hg is not high enough to indicate severe preeclampsia. Severe preeclampsia is diagnosed when blood pressure is 160/110 mm Hg or higher on two occasions at least four hours apart.

C. Mild facial edema. This statement is wrong because mild facial edema is a common symptom of pregnancy and not specific to preeclampsia. Severe preeclampsia may cause sudden and severe swelling in the face, hands, or feet.


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