The nurse identifies the following assessment findings on a client with preeclampsia: blood pressure 158/100; urinary output 50 mL/hour; lungs clear to auscultation; urine protein 1+ on dipstick; and edema of the hands, ankles, and feet.
On the next hourly assessment, which of the following new assessment findings would be an indication of worsening of the preeclampsia? A. Blood pressure 158/104
B. Urinary output 20 mL/hour
C. Reflexes 2+
D. Platelet count 150,000
Question 2
During her first prenatal visit to the clinic at seven weeks' gestation, a 24-year-old primiparous client comments, My blood type is A negative, and my husband's blood type is B positive.
Will that cause problems with my pregnancy? The nurse's best response would be: A. There is no danger to your baby, but there could be a few minor complications for you. Let's talk about what we can do to prevent those.
B. We will do a blood test to see if your body is responding to the baby's blood type. If so, we will give the baby some medication to prevent harm.
C. Because your partner is positive and you are negative, there is some risk to the baby, but because this is your first pregnancy the risks are very small.
D. If you were O negative, you might have ABO incompatibility because of your partner's blood type; but since you are type A, there should be no problem.
Assessment of coordination: heel slide.
White Blood Cells Involved in Immune Response
Normal Red Blood Cells
Measuring the client’s blood pressure
The nurse conveys attentive listening through a posture of involvement
Measuring blood pressure with an aneroid manometer