Which of the following blood pressure (BP) assessment findings during the second trimester indicates a risk for preeclampsia?
1. Baseline BP 120/80, current BP 126/85
2. Baseline BP 100/70, current BP 130/85
3. Baseline BP 140/85, current BP 130/80
4. Baseline BP 110/60, current BP 110/60
2
1. Incorrect. An increase in the systolic BP of 30 mm Hg or more than the baseline pressure or in the diastolic BP of 15 mm Hg more than the baseline pressure is a significant finding, regardless of the absolute values. The slight increase in the BP does not meet the criteria for concern.
2. Correct. An increase in the systolic BP of 30 mm Hg or more than the baseline pressure or in the diastolic BP of 15 mm Hg more than the baseline pressure is a significant finding, regardless of the absolute values. The current BP indicates that an increase in both the dias-tolic and systolic pressures has occurred.
3. Incorrect. Although the initial BP is of concern (an absolute systolic BP of 140 mm Hg or more and a diastolic BP of 90 mm Hg or more suggest the presence of hypertension), the subsequent pressures have decreased, not increased.
4. Incorrect. The BP is within normal limits in both values and is not a concern.
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