Practice Quiz

CPM Certified Professional Midwife

Category - Prenatal

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A midwife is managing the care of a client at 28 weeks’ gestation. The client is admitted to the facility due to mild pre - eclampsia. The client is on bed rest and has been closely monitored for the past 24 hours. Which of the following findings would not indicate severe pre - eclampsia in this client?
  1. Blood pressure at 8:00 - 170/120; Blood pressure at 14:00 - 175/120
  2. Urine output - 450 mL/24 hours
  3. Proteinuria +3
  4. Serum creatinine - 1.0 mg/dL
Explanation
Answer: D - A serum creatinine of 1.0 mg/dL, a level within the normal range, does not indicate severe pre - eclampsia. Severe pre - eclampsia is characterized by an increase of the blood pressure to 160 mm Hg systolic and 110 mm Hg diastolic on at least two occasions, 6 hours apart. Indicators of severe pre - eclampsia include: urine output of less than 500 mL in 24 hours, proteinuria +3 or +4 and a serum creatinine level above 1.2 mg/dL indicate severe pre - eclampsia.
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