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A clinic nurse is caring for a patient with a suspected diagnosis of gestational hypertension. The nurse assesses the patient, expecting to note which
Question

A clinic nurse is caring for a patient with a suspected diagnosis of gestational hypertension. The nurse assesses the patient, expecting to note which set of findings if gestational diabetes is present?

A.

Edema, ketonuria and obesity

B.

Edema, tachycardia and ketonuria

C.

Glycosuria, hypertension and obesity

D.

Elevated blood pressure and proteinuria

Correct option is D

Gestational hypertension is characterized by increased blood pressure and proteinuria after 20 weeks of gestation. These are hallmark features that distinguish it from other conditions such as gestational diabetes. Explanation of options:
· (a) ✘ Edema and obesity may occur but ketonuria is associated more with diabetes or starvation.
· (b) ✘ Tachycardia is nonspecific; ketonuria isn't typical of hypertension.
· (c) ✘ Glycosuria points to diabetes, not gestational hypertension.
· (d) ✔ Classic signs of gestational hypertension include elevated BP and proteinuria.

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