A nurse is assessing a client who has preeclampsia during a prenatal visit. Which of the following findings should the nurse report to the provider?
A.
Blood glucose 110 mg/dL.
B.
Urine protein of 3+.
C.
Hemoglobin 13 g/dL.
D.
Deep tendon reflexes of 2+.
The Correct answer and Explanation is:
The correct answer is B. Urine protein of 3+.
Explanation:
Preeclampsia is a pregnancy complication characterized by hypertension and signs of damage to another organ system, most often the liver and kidneys. One of the key diagnostic criteria for preeclampsia is the presence of protein in the urine (proteinuria). In this case, the finding of a urine protein level of 3+ indicates a significant amount of protein, suggesting worsening kidney function and an increased risk of severe preeclampsia.
- Importance of Proteinuria: In preeclampsia, proteinuria is used as a marker for renal involvement. A reading of 3+ on a urine dipstick is indicative of at least 300 mg of protein in a 24-hour urine sample, meeting the criteria for diagnosis. This level is concerning and requires immediate attention from the healthcare provider to evaluate the severity of the preeclampsia and to decide on management strategies.
- Other Findings:
- A. Blood glucose 110 mg/dL: While this level is above normal for a non-pregnant individual, it does not indicate an acute issue related to preeclampsia. Monitoring blood glucose is essential, especially in pregnant patients, but it is not immediately alarming in the context of preeclampsia.
- C. Hemoglobin 13 g/dL: This hemoglobin level is within the normal range for a pregnant woman, indicating no immediate concerns related to anemia or blood loss.
- D. Deep tendon reflexes of 2+: Reflexes within this range are considered normal. In the context of preeclampsia, hyperreflexia (increased reflex responses) may indicate worsening disease or the onset of eclampsia. However, a reflex of 2+ does not require immediate reporting.
In summary, the presence of 3+ urine protein is a significant finding in the assessment of a client with preeclampsia and should be promptly reported to the provider for further evaluation and management.