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Pregnancy-Induced Hypertension — NCLEX Cheat Sheet

BP ≥ 140/90 after 20 wks

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👤 By the CinnaRN Clinical Content Team 🕐 Updated 2026-07-11 🏷️ Physiological Adaptation 🔖 Free to read, print, and share

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Use this quick-reference guide to spot, treat, and prevent Pregnancy-Induced Hypertension on the NCLEX. Keep it handy during review and on exam day!

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Signs

What to look for

HTN, proteinuria, edema
Headache, blurred vision
Epigastric pain, ↑ DTRs

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Meds

Key numbers

Mag sulfate → seizure prevent
Therapeutic Mg 4–7 mEq/L
Antidote = Ca gluconate

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Report

Notify / act now

↓ RR < 12, absent DTRs
↓ UO < 30 mL/hr = Mg toxic
Seizure = eclampsia, ABCs

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Do

Nursing actions

Quiet, dim room, seizure precaut
Delivery = only cure

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Quick Tip

Diagnosis requires BP at or above 140/90 on two occasions after 20 weeks; severe features include BP at or above 160/110.

📖 Related Topics

Hypokalemia Hyperkalemia Hyponatremia Heart Failure

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