A pregnant patient at 30 weeks' gestation has had a steady rise in blood pressure. She is now 20 mmHg above her systolic baseline
The nurse advises her to immediately report: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Dizziness.
2. Even a small amount of dependent edema.
3. Spots before her eyes.
4. Persistent nausea and vomiting.
5. Vaginal spotting.
1,3
Rationale 1: Dizziness can be a sign of hypertension or preeclampsia, and should be reported immediately.
Rationale 2: A small amount of dependent edema is expected, especially in the last weeks of pregnancy.
Rationale 3: Spots before the eyes can be a sign of hypertension or preeclampsia, and should be reported immediately.
Rationale 4: Persistent nausea and vomiting would occur early in the pregnancy.
Rationale 5: Vaginal spotting is a danger sign, but it is not related to the increased blood pressure.
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