A woman at 30 weeks has a blood pressure of 156/104 mmHg and urine protein. What is the most appropriate nursing action?
Correct answer: A. Arrange urgent assessment and referral for possible pre-eclampsia
- A. Arrange urgent assessment and referral for possible pre-eclampsia
- B. Reassure her that the finding is normal in late pregnancy
- C. Ask her to return at the next scheduled antenatal visit
- D. Advise her to restrict all oral fluids until delivery
Explanation
Marked hypertension with proteinuria suggests pre-eclampsia and needs urgent assessment for maternal and fetal complications. Delaying review or imposing severe fluid restriction is unsafe and does not treat the underlying condition.
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About Antenatal Care
Routine care during pregnancy includes booking history, physical examination, laboratory investigations, nutritional advice, immunisation, fetal growth assessment and scheduled antenatal visits. It also covers recognition of danger signs, calculation of gestational age and estimated delivery date, and the difference between uncomplicated surveillance and referral for high-risk pregnancy.
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50 free Antenatal Care MCQs from Midwifery and Obstetric Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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