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Preeclampsia outpatient follow-up

  • NCLEX-RN
  • NCLEX-PN
  • Health Promotion and Maintenance
  • Bow-tie
  • Difficulty 3 of 5

Question

Complete the diagram by choosing the condition the client is most likely experiencing, 2 actions to take and 2 parameters to monitor.

Actions to takeSelect 2

  • Encourage rest at home✓ Correct
  • Reinforce keeping frequent follow-up visits✓ Correct
  • Advise skipping follow-up if feeling well✗ Incorrect
  • Recommend stopping all monitoring at home✗ Incorrect

Condition most likely experiencingSelect 1

  • Mild preeclampsia✓ Correct
  • Eclampsia✗ Incorrect
  • Chronic hypertension✗ Incorrect
  • Gestational hypertension without proteinuria✗ Incorrect

Parameters to monitorSelect 2

  • Blood pressure✓ Correct
  • Ordered laboratory results✓ Correct
  • Breast milk volume✗ Incorrect
  • Postpartum uterine tone✗ Incorrect

Answer

Actions to take: Encourage rest at home; Reinforce keeping frequent follow-up visits · Condition most likely experiencing: Mild preeclampsia · Parameters to monitor: Blood pressure; Ordered laboratory results

Rationale

The combination of newly elevated pressure and urinary protein after 20 weeks fits preeclampsia. For a client whose provider has chosen outpatient care, rest and repeat visits support surveillance for progression.

RememberOutpatient preeclampsia care requires continued follow-up.

Sources

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