Question

Which client would the nurse identify as being at greatest risk for the hypertensive disorder of pregnancy?

A) A 25-year-old primigravida with a body mass index (BMI) of 22
B) A 30-year-old multipara with a history of gestational hypertension
C) A 35-year-old primigravida with a history of chronic hypertension
D) A 28-year-old multipara with a previous pregnancy without complications

Answer 1

A 35-year-old primigravida with a history of chronic hypertension is at the greatest risk for hypertensive disorders of pregnancy due to pre-existing conditions and age-related risks. Therefore, the correct option is c.

Step-by-step explanation:

The client at greatest risk for the hypertensive disorder of pregnancy is C) A 35-year-old primigravida with a history of chronic hypertension. Chronic hypertension is a known risk factor for hypertensive disorders during pregnancy, including preeclampsia and eclampsia, which can lead to serious complications for both mother and baby. In comparison to the other clients listed, this individual's existing hypertension and age place her at a higher risk.

To further elaborate, option A represents a healthy primigravida with a normal BMI, while option B indicates a history of gestational hypertension, which does increase risk but to a lesser degree than chronic hypertension. Lastly, option D suggests a multipara with no previous complications, signifying a lesser risk relative to the client with chronic hypertension.