While you are assessing the vital signs of a pregnant woman in ...

[jman1234]

While you are assessing the vital signs of a pregnant woman in her third trimester, the patient complains of feeling faint, dizzy, and agitated. Which nursing intervention is appropriate?
 
  a. Have the patient stand up and retake her blood pressure.
  b. Have the patient sit down and hold her arm in a dependent position.
  c. Have the patient lie supine for 5 minutes and recheck her blood pressure on both
  arms.
  d. Have the patient turn to her left side and recheck her blood pressure in 5 minutes.

Question 2

What factor does the nurse recognize in a client's history as most likely to be related to her diagnosis of pregnancy-induced hypertension?
 
  a. Multiparity c. Obesity
  b. Multiple gestation d. Gestational diabetes

[aprice35067]

Answer to Question 1

D
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A Pressures are significantly higher when the patient is standing. This option
causes an increase in systolic and diastolic pressures.
B The arm should be supported at the same level of the heart.
C The supine position may cause occlusion of the vena cava and descending aorta,
creating hypotension.
D Blood pressure is affected by positions during pregnancy. The supine position
may cause occlusion of the vena cava and descending aorta. Turning the
pregnant woman to a lateral recumbent position alleviates pressure on the blood
vessels and quickly corrects supine hypotension.

Answer to Question 2

B
The physiologic stress of multiple gestation commonly will lead to PIH. Multiparity itself does not pose a risk for the development of PIH. Obesity is commonly linked with hypertension, but not specifically PIH.

[jman1234]

Correct answers!

[aprice35067]

Great! Please up vote