NCLEX Practice Test

Which are potential signs/symptoms related to preeclampsia in a client at 28 weeks gestation? Select all that apply.

1. 300 mg/24 hr (0.3 g/day) protein in urine

2. Frequent urination

3. Headache and blurry vision

4. Hemoglobin 10 g/dL (100 g/L)

5. 2+ pitting pedal edema

The correct answer is: 300 mg/24 hr (0.3 g/day) protein in urine

Preeclampsia is a serious condition in pregnancy that usually occurs after 20 weeks gestation and is characterized by high blood pressure and signs of damage to other organ systems, often the liver and kidneys. Some potential signs and symptoms to look out for in a client at 28 weeks gestation may include high levels of protein in the urine, frequent urination, headache, blurry vision, low hemoglobin levels, and pitting pedal edema. Options B, C, D, and E are incorrect because they are not specifically related to preeclampsia. Frequent urination and headache may be common pregnancy symptoms, but they are not necessarily indicators of preeclampsia. A hemoglobin level of 10 g/dL (or 100 g/L) may be considered low, but it is not directly related to preeclampsia. 2+ pitting pedal edema may also be a common symptom in pregnancy, but it is not specific to preeclampsia. Overall, option A is the most specific and reliable indicator of preeclampsia in a client at 28 weeks gestation.