NCLEX Pregnancy At Risk Practice Test

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A 16-year-old primigravida at 36 weeks with gestational hypertension has mild proteinuria and edema. Which statement would most indicate worsening gestational hypertension?
Correct Answer:
My vision for the past 2 days has been really fuzzy.
Explanation:
Blurred vision signals end‑organ involvement from preeclampsia. When gestational hypertension progresses, signs like visual disturbances indicate cerebral or retinal involvement due to severe vasospasm and endothelial dysfunction, signaling a need for urgent evaluation and potential escalation of care. Swelling that has decreased would mean improvement, not worsening. A heartburn episode after spicy food is common and not a reliable indicator of disease progression. A recent headache that responded to acetaminophen could be benign or mild; in preeclampsia, a persistent or severe headache, especially if not relieved, would raise concern, but the clear red SAMPLEflag here is the visual change. If vision becomes fuzzy, seek immediate medical attention for maternal and fetal assessment.

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