Chapter 27 Pregnancy HTN Disorders Questions And Answers 2022/2023

A primigravida is being monitored in her prenatal clinic for preeclampsia. What finding concerns her nurse? a. Blood pressure (BP) increase to 138/86 mm Hg b. Weight gain of 0.5 kg during the past 2 weeks c. A dipstick value of 3+ for protein in her urine d. Pitting pedal edema at the end of the day - ANS: C Proteinuria is defined as a concentration of 1+ or greater via dipstick measurement. A dipstick value of 3+ alerts the nurse that additional testing or assessment should be made. Generally, hypertension is defined as a BP of 140/90 or an increase in systolic pressure of 30 mm Hg or 15 mm Hg diastolic pressure. The labor of a pregnant woman with preeclampsia is going to be induced. Before initiating the oxytocin (Pitocin) infusion, the nurse reviews the woman's latest laboratory test findings, which reveal a platelet count of 90,000, an elevated aspartate transaminase (AST) level, and a falling hematocrit. The nurse notifies the physician because the lab results are indicative of: a. Eclampsia b. Disseminated intravascular coagulation (DIC) c. HELLP syndrome d. Idiopathic thrombocytopenia - ANS: C HELLP syndrome is a laboratory diagnosis for a variant of severe preeclamp