North American Registry of Midwives (NARM) Practice Exam

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When does the onset of preeclampsia traditionally occur?

Before 20 weeks
Between 20-26 weeks
After 26 weeks
After childbirth

The correct answer is: After 26 weeks

The onset of preeclampsia traditionally occurs after 20 weeks of gestation, with symptoms typically emerging in the second trimester or later. This condition is characterized by hypertension and proteinuria and can arise during pregnancy, generally after the 20-week mark, although it may also develop in the postpartum period. Preeclampsia emerging after 26 weeks is significant because it represents a more severe progression of the condition, which can pose serious health risks to both the mother and the fetus. Management strategies and monitoring are critical during this time frame to mitigate potential complications, which highlights why understanding the timing of onset is essential for midwifery practice.