The nurse has been teaching a pregnant woman at 32 weeks' gestation about signs and symptoms of gestational hypertension and potential warning signs of possible complications. The nurse recognizes the need for further teaching when the woman states:
a. "I will weigh myself every morning after voiding, before breakfast, and call my care provider if I notice a gain of 1 lbs or more in 1 week."
b. "If I have any vision changes, I will notify my care provider."
c. "If I have a headache, I will take some acetaminophen."
d. "I will count my baby's kicks twice a day in the morning and evening."
ANS: C
In early gestational hypertension, if the woman is well informed and able to carry out the medical and nursing instructions (e.g., report headaches, visual disturbances, epigastric pain), management may be provided on an outpatient basis. Daily weights and fetal kick counts are appropriate home care.
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