NCLEX RN Practice Question

Although headaches and swelling can occur as part of a normal pregnancy, they may also indicate underlying complications such as hypertension or other conditions requiring timely assessment. The correct response involves checking the client’s blood pressure and testing for abnormal urinary findings, as these could identify significant problems that need to be addressed promptly. Simply providing reassurance and suggesting rest, while comforting, risks overlooking serious issues. Encouraging water intake without further evaluation fails to address the root cause of the symptoms. Referring the client to the emergency department prematurely is an unnecessary escalation unless specific red flag symptoms such as vision changes or sudden severe pain are present.