What complication should the nurse monitor in a client who has a history of chronic hypertension during pregnancy?

• A. Increased fetal movement
• B. Risk of preterm labor
• C. Higher chance for gestational diabetes
• D. Development of preeclampsia

Answer: (D)

A client with a history of chronic hypertension during pregnancy requires close monitoring for multiple complications, one of which is the development of preeclampsia. Preeclampsia is a condition characterized by high blood pressure and often accompanied by signs of damage to another organ system, typically the liver or kidneys. It can lead to serious complications for both the mother and the baby, including placental abruption, preterm birth, and even maternal and fetal mortality if not managed appropriately.

Chronic hypertension can exacerbate the risk of developing preeclampsia because the existing high blood pressure increases the likelihood of further complications as the pregnancy progresses. Monitoring for signs of preeclampsia, such as protein in the urine, severe headaches, vision changes, or sudden swelling of hands and face, is crucial in managing the health of both the mother and the developing fetus.

In contrast, while the other options may pose risks during pregnancy, they are not as directly linked to chronic hypertension as the risk of preeclampsia. For instance, increased fetal movement typically indicates fetal well-being, while the risks of preterm labor and gestational diabetes may not be directly attributable to preexisting hypertension. Hence, the focus remains on vigilance for the development of