Maternal / Newborn Question #6

Question

Elevated protein and nitrate levels are found in the urine during a clinic visit for a woman at 33 weeks gestation. Which action will the nurse take?

Answers

  1. Assess for symptoms of pre-eclampsia.
    • Rationale:
  2. Assess for symptoms of gestational diabetes.
    • Rationale:
  3. Assess for symptoms of gestational hypoglycemia.
    • Rationale:
  4. Assess for symptoms of urinary tract infection (UTI)
    • Rationale:

Overview

Explanation

Elevated protein and nitrate levels may indicate UTI, and the nurse’s focus assessment should include symptoms such as dysuria, frequency, urgency, and/or incontinence. Option A is incorrect because despite elevated protein levels (that may point to pre-eclampsia), elevated nitrate will not likely be elevated with pre-eclampsia. Option B and C are incorrect since elevated protein and nitrate do not indicate either condition, but blood sugar results may indicate gestational diabetes or hypoglycemia.

Learning Outcomes

Test Taking Tip

Video Rationale