RN Comprehensive Online Practice 2019 B with NGN | Nurselytic

Correct Answer: A

Rationale: The correct answer is A. Seizure precautions should be initiated for a client with severe gestational hypertension at 33 weeks of gestation due to the risk of developing eclampsia. Eclampsia is a serious complication of pregnancy characterized by seizures, which can be life-threatening for both the mother and the fetus. The nurse should monitor the client closely for signs of impending seizures, such as severe headaches, visual disturbances, and epigastric pain. Initiating seizure precautions involves ensuring a safe environment, having emergency medications readily available, and continuous monitoring.



Choices B, C, and D do not require seizure precautions. A hydatidiform mole (
B) is a gestational trophoblastic disease that does not pose an immediate risk of seizures. Vaginal bleeding at 28 weeks of gestation (
C) may indicate placental abnormalities but does not directly correlate with seizure risk. A positive Group B streptococcal culture at 36 weeks of gestation

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