Ati nur 275 paediatrics final 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+ protein in the urine: Proteinuria is a hallmark finding in preeclampsia, reflecting kidney involvement. B. Deep tendon reflexes of +1: Preeclampsia is associated with hyperreflexia (+3 or +4), not hypoactive reflexes. +1 reflexes indicate diminished reflex activity and are inconsistent with the condition. C. 1+ pitting sacral edema: Mild edema can occur in normal pregnancy and preeclampsia; though severe edema may indicate worsening disease, mild edema is not inconsistent. D. Blood pressure 148/98 mm Hg: Hypertension is a defining feature of preeclampsia, and a reading above 140/90 mm Hg meets diagnostic criteria.
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