Question

The home care nurse visits a pregnant client who has a diagnosis of mild preeclampsia. Which assessment finding indicates a worsening of the preeclampsia and the need to notify the primary health care provider (PHCP)

Answer 1

The client complains of a headache and blurred vision indicates a worsening of preeclampsia and the need to notify the health care provider.

What is preeclampsia?

• Preeclampsia is a pregnancy problem. Preeclampsia can cause high blood pressure, proteinuria, which is a high level of protein in the urine and is a marker of kidney impairment, as well as other organ damage symptoms.
• Preeclampsia typically develops in pregnant women whose blood pressure had previously been within the normal range after 20 weeks of pregnancy.
• Preeclampsia signs and symptoms, in addition to high blood pressure, may include:

• Proteinuria, or an excessive amount of protein in the urine, or other renal issues
• decreased blood platelet levels (thrombocytopenia)
• hepatic issues are indicated by increased liver enzyme levels.
• bad headaches
• Vision changes, such as temporary blindness, hazy vision, or light sensitivity
• Breathlessness brought on by pulmonary fluid
• Upper abdominal discomfort, commonly on the right side under the ribs
• Nausea

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The home care nurse visits a pregnant client who has a diagnosis of mild preeclampsia. Which assessment finding indicates a worsening of preeclampsia and the need to notify the health care provider?

1. Urinary output has increased.

2. Dependent edema has resolved.

3. Blood pressure reading is at the prenatal baseline.

4. The client complains of a headache and blurred vision