Inpatient Obstetric Nurse (NCC) Practice Exam

The recommended treatment for a mother diagnosed with gestational hypertension primarily involves close monitoring and potential delivery if the condition becomes severe. This approach is based on the understanding that gestational hypertension can progress to more serious complications, such as preeclampsia, which poses risks to both the mother and fetus. Monitoring involves regular assessment of blood pressure and evaluation of any symptoms that may indicate worsening of the condition, such as headaches, visual changes, or upper abdominal pain.

If severe hypertension (usually defined as a systolic blood pressure of 160 mm Hg or more, or a diastolic blood pressure of 110 mm Hg or more) develops, or if any other concerning symptoms arise, delivery may be indicated to protect the well-being of both the mother and the baby.

Close surveillance allows for timely intervention while also minimizing unnecessary early deliveries in cases where the mother and fetus are stable. This reflects current clinical guidelines which prioritize both maternal and fetal health while managing the risks associated with hypertension during pregnancy.