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 gestation with a diagnosis of pregnancy induced hypertension. Which of the following findings should the nurse identify as inconsistent with the admitting diagnosis?
A. 1+ pitting sacral edema
B. 3+ protein in the urine
C. Blood pressure 148/98 mm Hg
D. Deep tendon reflextes of +1

Question

15-12-2022
Biology

Answered

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 gestation with a diagnosis of pregnancy induced hypertension. Which of the following findings should the nurse identify as inconsistent with the admitting diagnosis?
A. 1+ pitting sacral edema
B. 3+ protein in the urine
C. Blood pressure 148/98 mm Hg
D. Deep tendon reflextes of +1

Answer :

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mishrasomvt mishrasomvt · Answer 1 · 2022-12-22T00:52:02-05:00

The finding that is most inconsistent with the admitting diagnosis of pregnancy induced hypertension (PIH) is deep tendon reflexes of +1. Therefore, option (D) is correct.

What is Deep tendon reflexes of +1?

Pregnancy induced hypertension is a condition that occurs during pregnancy and is characterized by high blood pressure. It can be a serious complication and may lead to further complications such as preterm labor and delivery. Common signs and symptoms of PIH may include high blood pressure, swelling in the hands and feet, protein in the urine, and occasionally, abdominal pain.

Deep tendon reflexes are a type of reflex that can be tested by a healthcare provider to assess the functioning of the nervous system. A deep tendon reflex is considered normal if the reflex is present and the response is graded at +2 or +3. A reflex graded at +1 is considered hyporeflexive, which means that the reflex is weaker than normal. This finding is not consistent with the diagnosis of PIH. If the nurse observes a deep tendon reflex of +1 in the client, they should report this finding to the healthcare provider, as it may indicate an underlying neurological condition that needs further evaluation.

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