Hypertensive Disorders in Pregnancy
Hypertensive Disorders in Pregnancy Quiz
Test your knowledge about hypertensive disorders during pregnancy with this comprehensive quiz! Understand the various aspects of preeclampsia, eclampsia, HELLP syndrome, and their management. This quiz is designed for healthcare professionals and students who want to deepen their understanding of maternal-fetal health.
- Assess your knowledge on assessment findings.
- Learn about nursing interventions and patient education.
- Identify risk factors and laboratory findings related to hypertension in pregnancy.
The nurse is assessing a client who is in the third trimester of pregnancy. Which finding would require immediate intervention by the nurse?
A) Blood pressure of 142/92 mmHg
B) Pulse of 92 beats per minute
C) Respiratory rate of 24 per minute
D) Weight gain of 16 oz per week
The nurse is assessing a client who is 20 weeks pregnant. Which health issue should the nurse recognize as increasing this client's risk for the development of preeclampsia?
A) Treatment for vitamin D deficiency
B) Surgery for ruptured appendix 1-year prior
C) Fibrocystic breast disease
D) Obesity
The nurse identifies assessment findings for a client with preeclampsia. Blood pressure is 158/100 mmHg; urinary output 50 mL/hour; crackles in the lungs on auscultation; urine protein 1+; 1+ edema hands, feet, ankles. On the next hourly assessment, which new assessment finding would indicate worsening of the condition?
A) Blood pressure 159/100 mmHg
B) Urinary output 40 mL/hour
C) Urine protein 2+
D) Lungs clear to auscultation
During a routine prenatal visit, a client who is 24 weeks pregnant has a blood pressure of 143/91. The client's blood pressure at her previous visit was 121/82. A urine dipstick test reveals a trace amount of protein. The nurse identifies which nursing diagnosis as appropriate for the client at this time?
A) Risk for Imbalanced Fluid Volume
B) Chronic Pain
C) Risk for Delayed Development
D) Constipation
The community nurse is caring for a client who is 32 weeks pregnant and diagnosed with preeclampsia. Which statement indicates that the client requires additional teaching?
A) "It is normal for my urine may become darker and smaller in amount each day."
B) "I should call the doctor if I develop a headache or blurred vision."
C) "Pain in the top of my abdomen is a sign my condition is worsening."
D) "Lying on my left side as much as possible is good for the baby."
The nurse is providing postpartum care for a client who gave birth by cesarean section several hours ago. The client had preeclampsia during the last 3 weeks of pregnancy. Which interventions are appropriate for this client within the first 48 hours after birth? Select all that apply.
A) Assessment of deep tendon reflexes
B) Assessment of intake and output
C) Oxygen 2 liters nasal cannula as prescribed
D) Seizure precautions
E) Vital sign assessment
A client with preeclampsia begins to demonstrate manifestations of seizure activity. Which intervention by the nurse is most likely to protect the client and fetus from injury?
A) Elevate the client's legs
B) Place the client on the left side and protect the airway
C) Place the client in the supine position
D) Elevate the head of the bed
A nurse is teaching a group of pregnant clients regarding seizures associated with eclampsia. Which statement associated with eclampsia are accurate?
A) "The tonic phase of a grand mal seizure is evidenced by alternate contraction and relaxation of the muscles."
B) "The clonic phase of a grand mal seizure is evidenced by muscular contraction and rigidity."
C) "Seizures are rare in eclampsia, but they occur sometimes."
D) "Seizures do not occur in preeclampsia."
A nurse working on an antepartum unit is providing care for a client with preeclampsia. Which laboratory value does the nurse anticipate for this client?
A) Increased platelet count
B) Decreased liver enzymes
C) Decreased blood urea nitrogen (BUN)
D) Increased serum creatinine
A pregnant client is diagnosed with HELLP syndrome. Based on this diagnosis, which laboratory findings are consistent with diagnosis of HELLP?
A) Decreased liver enzymes
B) Hemolysis
C) Elevated lipid panel
D) Increased platelet count
Which action should the nurse carry out for the laboring client who has been diagnosed with preeclampsia?
A) Place the client in the room closest to the nurse's station, even if it is a shared room.
B) Place the client in left lateral position when the client feels the urge to push.
C) Monitor client's fetus intermittently while client is in first stage of labor.
D) Encourage the client to be alone in the room without family in order to maintain a quiet environment.
12) Which is believed to be the cause of preeclampsia?
A) Placental dysfunction
B) Liver disease
C) Anxiety
D) Low sodium intake
A nurse is caring for a pregnant client who is hypertensive. Which additional clinical manifestations leads the nurse to believe that the client is experiencing early preeclampsia?
A) Persistent headache
B) Excessive protein in the urine
C) Right-sided abdominal pain
D) Severe epigastric pain
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