A nurse midwife is assessing a 43-year-old client at 23 weeks' gestation. Which of the following findings alerts the nurse midwife of a possible case of pre-eclampsia?

Question

Quizplus · Accepted Answer

A possible case of pre-eclampsia is considered if the client's most recent blood pressure increases to 130/100 mm Hg from a pre-pregnancy blood pressure of 100/80 mm Hg. If the client's systolic blood pressure increases 30 mm Hg, or if the diastolic pressure increases 15 mm Hg above the pre-pregnancy level, pre-eclampsia is more likely.
A weight gain of one pound per week during the second trimester does not indicate a possible pre-eclampsia. Pre-eclampsia is more likely if the client gains more than two pounds per week during the second trimester. Absence of proteinuria and edema indicate good maternal health.

A Nurse Midwife Is Assessing a 43-Year-Old Client at 23