Complications and Outcomes
Complications and Outcomes ( 5 Questions)
A nurse is assessing a client with mild pre-eclampsia at 34 weeks of gestation.
What signs and symptoms would indicate worsening of the condition? Select all that apply.
A headache that does not respond to acetaminophen may indicate increased intracranial pressure due to cerebral edema.
Blurred vision or scotoma (spots in the visual field) may indicate retinal damage or detachment due to hypertension.
Epigastric pain or right upper quadrant pain may indicate liver ischemia or rupture due to vasospasm and edema.
Weight gain of 2 lbs in one week is normal for a pregnant woman at 34 weeks of gestation. Weight gain of more than 4 lbs in one week should be reported to the physician.
Swelling of the ankles and feet is common in pregnancy and does not necessarily indicate preeclampsia. Swelling of the face, eyes, or hands should be reported to the physician.
The correct answer is choices A, B and C. These are signs and symptoms of severe preeclampsia that indicate worsening of the condition and require immediate medical attention.
Choice A is correct because a headache that does not respond to acetaminophen may indicate increased intracranial pressure due to cerebral edema.
Choice B is correct because blurred vision or scotoma (spots in the visual field) may indicate retinal damage or detachment due to hypertension.
Choice C is correct because epigastric pain or right upper quadrant pain may indicate liver ischemia or rupture due to vasospasm and edema.
Choice D is wrong because weight gain of 2 lbs in one week is normal for a pregnant woman at 34 weeks of gestation. Weight gain of more than 4 lbs in one week should be reported to the physician.
Choice E is wrong because swelling of the ankles and feet is common in pregnancy and does not necessarily indicate preeclampsia. Swelling of the face, eyes, or hands should be reported to the physician.