The following are assessment finding for a client with pre-eclampsia: blood pressure 158/100; urinary output 50 mL/hour; lungs clear to auscultation; urine protein 11 on dipstick; edema of the hands, and feet. On the next hourly assessment, which new assessment finding would be an indication of worsening of the pre-eclampsia

1)Blood pressure 158/104

2)urinary output 20ml per hour

3)Reflexes 21

4)Platelet count 150,000

The correct answer is (2) urinary output 20ml per hour

Explanation:

Preeclampsia is a condition in pregnant women, or could develop after delievry, where her blood pressure rises significantly, >140/90 mmHg(recorded on two occasions,atleast 4 hours apart).Moreover urine test indicates protein in her urine(proteinuria), swelling particularly of hands,legs and feet(edema),severe headaches along with many other symtoms.

On the next hourly assessment,

• The client's BP was recorded as 158/104, which is almost the same as it was initially recorded,i.e 158/100, which means her BP did not rise significantly.

•The client's reflexes are normal

•The client's platelet count is normal too, although it is on a lower side(normal range is between 150,000-450,000)

•Decrease in urinary output(20ml/hr) is an indication of worsening of preeclampsia because this indicates there is decreased renal perfusion which may subsequently lead to decreased GFR(glomerular filtration rate).

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