At a routine antenatal visit, a woman reports severe headache with blurred vision and flashing lights. What should the nurse do first?
Correct answer: A. Assess her blood pressure and arrange urgent review
- A. Assess her blood pressure and arrange urgent review
- B. Advise her to rest and return in one week
- C. Give an over-the-counter analgesic and discharge her
- D. Tell her that visual symptoms are normal in pregnancy
Explanation
Severe headache and visual disturbance may indicate severe hypertensive disease, so blood pressure assessment and urgent clinical review are required. Delaying assessment risks maternal seizure, stroke and fetal compromise.
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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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