1)Blood pressure 158/104
2)urinary output 20ml per hour
3)Reflexes 21
4)Platelet count 150,000
Answer: The correct answer is (2) urinary output 20ml per hour
Explanation:
Preeclampsia is a condition in pregnant women, or could develop after delievry, where her blood pressure rises significantly, >140/90 mmHg(recorded on two occasions,atleast 4 hours apart).Moreover urine test indicates protein in her urine(proteinuria), swelling particularly of hands,legs and feet(edema),severe headaches along with many other symtoms.
On the next hourly assessment,
• The client's BP was recorded as 158/104, which is almost the same as it was initially recorded,i.e 158/100, which means her BP did not rise significantly.
•The client's reflexes are normal
•The client's platelet count is normal too, although it is on a lower side(normal range is between 150,000-450,000)
•Decrease in urinary output(20ml/hr) is an indication of worsening of preeclampsia because this indicates there is decreased renal perfusion which may subsequently lead to decreased GFR(glomerular filtration rate).
