What should a nurse monitor in a pregnant client with gestational hypertension?

• A. Increased activity levels.
• B. Frequent breast exams.
• C. Weight gain over 5 pounds per week.
• D. Allergic reactions to medications.

Answer: (C)

Monitoring weight gain in a pregnant client with gestational hypertension is critical because rapid weight gain can be indicative of fluid retention, which may signal worsening hypertension or the development of preeclampsia. Ingestational hypertension, there is a risk of increased blood pressure affecting both the mother and the fetus, and significant weight gain can exacerbate these issues. Hence, keeping a close watch on weight gain—particularly if it exceeds 5 pounds in a week—can help healthcare providers assess the patient's condition and take necessary actions to manage the hypertension effectively.

In contrast, monitoring activity levels, frequent breast exams, or allergic reactions to medications, while important in their own rights, do not address the critical nature of fluid balance and weight changes that directly impact the management of gestational hypertension.