Diagnosis and tests
Diagnosis and tests ( 5 Questions)
A client is diagnosed with gestational hypertension.
Which of the following tests should the nurse expect to be ordered?
Urinalysis to check for proteinuria is not a specific test for gestational hypertension, but rather for preeclampsia, which is a more severe complication of gestational hypertension. Proteinuria indicates impaired kidney function due to high blood pressure.
Blood tests to check for liver enzymes are also not specific for gestational hypertension, but for HELLP syndrome, which is another severe complication of preeclampsia. Elevated liver enzymes indicate impaired liver function due to high blood pressure.
An ultrasound to measure fetal growth and amniotic fluid volume is a test that the nurse should expect to be ordered for a client with gestational hypertension. This is because gestational hypertension can cause intrauterine growth restriction and oligohydramnios, which are conditions that affect the fetal development and well-being.
Nonstress test or biophysical profile to monitor fetal heart rate and movements are not tests that are ordered for gestational hypertension alone, but for any high-risk pregnancy that requires close monitoring of the fetal status. These tests can detect signs of fetal distress or hypoxia.
The correct answer is choice C.
An ultrasound to measure fetal growth and amniotic fluid volume is a test that the nurse should expect to be ordered for a client with gestational hypertension. This is because gestational hypertension can cause intrauterine growth restriction and oligohydramnios, which are conditions that affect the fetal development and well-being.
Choice A is wrong because urinalysis to check for proteinuria is not a specific test for gestational hypertension, but rather for preeclampsia, which is a more severe complication of gestational hypertension. Proteinuria indicates impaired kidney function due to high blood pressure.
Choice B is wrong because blood tests to check for liver enzymes are also not specific for gestational hypertension, but for HELLP syndrome, which is another severe complication of preeclampsia. Elevated liver enzymes indicate impaired liver function due to high blood pressure.
Choice D is wrong because nonstress test or biophysical profile to monitor fetal heart rate and movements are not tests that are ordered for gestational hypertension alone, but for any high-risk pregnancy that requires close monitoring of the fetal status. These tests can detect signs of fetal distress or hypoxia.