Maternal Review Practice Questions 2024.

Maternal Review Practice Questions 2024. A 26-year-old G1 P0 client is seen in the clinic for her routine prenatal visit at 29 weeks' gestation. On examination the nurse notes that she has gained 8 lb (3.6 kg) since her last visit, 2 weeks ago; that her blood pressure is 150/90 mm Hg; and that she has 1+ proteinuria on urine dipstick. What is the most likely diagnosis for this client? Mild preeclampsia Severe preeclampsia Chronic hypertension Gestational hypertension - CORRECT ANSWER Mild preeclampsia Preeclampsia is hypertension that develops after 20 weeks' gestation in a previously normotensive woman. With mild preeclampsia the systolic blood pressure is below 160 mm Hg and diastolic BP is below 110 mm Hg. Proteinuria is present, but there is no evidence of organ dysfunction. Severe preeclampsia is a systolic blood pressure of greater than 160 mm Hg or diastolic blood pressure of at least 110 mm Hg and proteinuria of 5 g or more per 24-hour specimen. Chronic hypertension is hypertension that is present before the pregnancy or diagnosed before 20 weeks' gestation. Gestational hypertension is the onset of hypertension during pregnancy without other signs or symptoms of preeclampsia and without preexisting hypertension. A client has a diagnosis of unruptured tubal pregnancy. Which assessment findings correlate with this diagnosis? Rigid abdomen Referred shoulder pain Unilateral abdominal pain History of a sexually transmitted infection (STI) Ecchymotic blueness around the umbilicus - CORRECT ANSWER Unilateral abdominal pain History of a sexually transmitted infection (STI)