Pediatrics Proctored exam
A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?
Explanation & Rationale
A. 3+ proteinuria is consistent with preeclampsia, reflecting renal involvement due to endothelial damage. B. Deep tendon reflexes of +1 are considered hyporeflexia and are not typical of preeclampsia. Preeclampsia is usually associated with hyperreflexia (+3 to +4) due to increased central nervous system irritability. This finding is inconsistent with the diagnosis. C. 1+ pitting edema is common in preeclampsia, though edema alone is not diagnostic. D. Elevated blood pressure (≥140/90 mm Hg) is a key diagnostic criterion for preeclampsia and aligns with the condition.
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