Difficulty: Medium
Average Score: 77%
Simulated
Passage / Scenario
A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia.Which of the following findings should the nurse identify as inconsistent with preeclampsia?
Correct answer
D
Rationale
The correct answer is D: Deep tendon reflexes of +1. In preeclampsia, deep tendon reflexes are usually increased or hyperactive, not diminished. This indicates a potential issue with the nervous system. The other findings (A, B, C) are consistent with preeclampsia: proteinuria, edema, and elevated blood pressure. Proteinuria is a hallmark sign, pitting edema can occur due to fluid retention, and elevated blood pressure is a key diagnostic criteria. Therefore, deep tendon reflexes of +1 are inconsistent with preeclampsia, making it the correct answer.