A woman at 25 weeks' gestation comes to the clinic for her prenatal visit. The nurse notices that her face and lower extremities are swollen, and her blood pressure is 154/94 mm Hg
The woman states that she has had headaches and blurry vision but thought she was just tired. What should the nurse suspect?
a.
Eclampsia
b.
Preeclampsia
c.
Diabetes type 1
d.
Preterm labor
ANS: B
Classic symptoms of preeclampsia include elevated blood pressure (greater than 140 mm Hg systolic or 90 mm Hg diastolic in a woman with previously normal blood pressure) and proteinuria. Onset and worsening symptoms may be sudden, and subjective signs include headaches and visual changes. Eclampsia is manifested by generalized tonic-clonic seizures. These symptoms are not indicative of diabetes mellitus (type 1 or 2) or preterm labor.
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