North American Registry of Midwives (NARM) Practice Exam

What should be monitored in a patient showing signs of preeclampsia?

1. Temperature variations

2. Heart rate

3. Fluid intake

4. Blood pressure

The correct answer is: Blood pressure

Monitoring blood pressure in a patient showing signs of preeclampsia is crucial because elevated blood pressure is one of the defining characteristics of this condition. Preeclampsia typically develops after the 20th week of pregnancy and is characterized by hypertension and the presence of protein in the urine, among other symptoms. Monitoring blood pressure helps in identifying changes that may indicate worsening of the condition, leading to potential complications for both the mother and the fetus, such as organ damage or placental abruption. In the context of preeclampsia, understanding blood pressure readings allows healthcare providers to assess the severity of the condition and intervene appropriately, which may include medications to manage blood pressure or planning for delivery if the situation necessitates it. Temperature variations and heart rate can be important in other clinical scenarios but are not primary indicators to monitor specifically for preeclampsia. While fluid intake can be relevant, it does not provide direct insight into the patient's condition regarding preeclampsia as effectively as blood pressure does. Thus, prioritizing blood pressure monitoring is essential in managing this serious pregnancy complication.