Comparison with other types of hypertension during pregnancy
Comparison with other types of hypertension during pregnancy ( 5 Questions)
A nurse is providing discharge instructions to a client who had gestational hypertension and delivered a healthy newborn.
Which of the following statements should the nurse include in the teaching?
The client should have their blood pressure checked again within 7 to 10 days after delivery, and then again at 6 weeks postpartum.
The client can breastfeed safely even if they have high blood pressure or are taking antihypertensive medications. Breastfeeding has many benefits for both the mother and the baby, and most antihypertensive drugs are compatible with breastfeeding.
The nurse should include in the teaching that the client should report any blurred vision or abdominal pain to their provider. These are signs of severe preeclampsia, which can occur after delivery and can lead to serious complications such as eclampsia, stroke, or liver rupture.
Oral contraceptives are not recommended for women who have had gestational hypertension or preeclampsia, especially if they have other risk factors such as obesity, smoking, or thrombophilia. Oral contraceptives can increase the risk of thromboembolic events and hypertension in these women. Non-hormonal or progestogen-only methods of contraception are preferred.
The correct answer is choice C. The nurse should include in the teaching that the client should report any blurred vision or abdominal pain to their provider. These are signs of severe preeclampsia, which can occur after delivery and can lead to serious complications such as eclampsia, stroke, or liver rupture.
Choice A is wrong because the client should have their blood pressure checked again within 7 to 10 days after delivery, and then again at 6 weeks postpartum.
Six months is too long to wait for a follow-up.
Choice B is wrong because the client can breastfeed safely even if they have high blood pressure or are taking antihypertensive medications. Breastfeeding has many benefits for both the mother and the baby, and most antihypertensive drugs are compatible with breastfeeding.
Choice D is wrong because oral contraceptives are not recommended for women who have had gestational hypertension or preeclampsia, especially if they have other risk factors such as obesity, smoking, or thrombophilia. Oral contraceptives can increase the risk of thromboembolic events and hypertension in these women. Non-hormonal or progestogen-only methods of contraception are preferred.
