Question

The home care nurse is monitoring a pregnant client with gestational hypertension who is at risk for preeclampsia. At each home care visit, the nurse assesses the client for which classic signs of preeclampsia? Select all that apply.

A. Elevated blood pressure
B. Edema in the lower extremities
C. Proteinuria
D. Decreased fetal movement

Answer 1

The classic signs of preeclampsia include elevated blood pressure, proteinuria, and edema in the lower extremities.

Step-by-step explanation:

The classic signs of preeclampsia that the home care nurse assesses the client for include:

• Elevated blood pressure: Preeclampsia is characterized by high blood pressure, often above 140/90 mm Hg.
• Proteinuria: This refers to the presence of abnormal levels of protein in the urine, indicating kidney damage.
• Edema in the lower extremities: Swelling in the legs, ankles, and feet can be a sign of preeclampsia.

The decreased fetal movement is not a classic sign of preeclampsia but should still be monitored.