Ati Lpn maternal exam 1
Ati Lpn maternal exam 1 ( 49 Questions)
A nurse is caring for a client at 34 weeks gestation.
Medical History: The client has a history of gestational diabetes and mild hypertension. Diagnostic Results: The latest ultrasound shows normal fetal growth and development. Blood sugar levels have been slightly elevated in the past week.
Vital Signs: Blood pressure has been steadily increasing over the past few hours. Heart rate and temperature remain within normal limits.
Complete the diagram by selecting the condition the client is most likely experiencing? Two actions the nurse should take to address that condition and two parameters the nurse should monitor to assess the client’s progress.
Preeclampsia is a pregnancy complication characterized by high blood pressure and signs of damage to other organ systems, often the kidneys. It typically develops after 20 weeks of gestation and can progress to severe preeclampsia or eclampsia, which can be life-threatening for both the mother and the baby.
The client's history of gestational diabetes and mild hypertension, along with the recent elevation in blood pressure, is strongly suggestive of preeclampsia. Gestational diabetes is a known risk factor for preeclampsia.
The ultrasound showing normal fetal growth and development does not rule out preeclampsia. Preeclampsia can occur even in pregnancies where the baby is growing normally.
The elevated blood sugar levels in the past week could be a sign of worsening preeclampsia, as it can affect the body's ability to regulate blood sugar.
Antihypertensive medication is a key component of managing preeclampsia. It helps to lower blood pressure and reduce the risk of complications such as stroke and organ damage.
The specific medication and dosage will be determined by the healthcare provider based on the severity of the preeclampsia and the client's individual needs.
Regular monitoring of blood pressure and urine protein levels is essential for assessing the progression of preeclampsia and guiding treatment decisions.
Blood pressure readings can indicate whether the preeclampsia is worsening or responding to treatment. Urine protein levels can reveal kidney damage, which is a common complication of preeclampsia.
Blood pressure readings are a direct measure of the severity of preeclampsia.
Elevated blood pressure can strain the heart, kidneys, and other organs, leading to serious complications.
Protein in the urine (proteinuria) is a sign of kidney damage, which can be a complication of preeclampsia.
The level of protein in the urine can help to assess the severity of the kidney damage and guide treatment decisions.
Choice A rationale:
Preeclampsia is a pregnancy complication characterized by high blood pressure and signs of damage to other organ systems, often the kidneys. It typically develops after 20 weeks of gestation and can progress to severe preeclampsia or eclampsia, which can be life-threatening for both the mother and the baby.
The client's history of gestational diabetes and mild hypertension, along with the recent elevation in blood pressure, is strongly suggestive of preeclampsia. Gestational diabetes is a known risk factor for preeclampsia.
The ultrasound showing normal fetal growth and development does not rule out preeclampsia. Preeclampsia can occur even in pregnancies where the baby is growing normally.
The elevated blood sugar levels in the past week could be a sign of worsening preeclampsia, as it can affect the body's ability to regulate blood sugar.
Choice B rationale:
Antihypertensive medication is a key component of managing preeclampsia. It helps to lower blood pressure and reduce the risk of complications such as stroke and organ damage.
The specific medication and dosage will be determined by the healthcare provider based on the severity of the preeclampsia and the client's individual needs.
Choice C rationale:
Regular monitoring of blood pressure and urine protein levels is essential for assessing the progression of preeclampsia and guiding treatment decisions.
Blood pressure readings can indicate whether the preeclampsia is worsening or responding to treatment. Urine protein levels can reveal kidney damage, which is a common complication of preeclampsia.
Choice D rationale:
Blood pressure readings are a direct measure of the severity of preeclampsia.
Elevated blood pressure can strain the heart, kidneys, and other organs, leading to serious complications.
Choice E rationale:
Protein in the urine (proteinuria) is a sign of kidney damage, which can be a complication of preeclampsia.
The level of protein in the urine can help to assess the severity of the kidney damage and guide treatment decisions.