Inpatient Obstetric Nurse (NCC) Practice Exam 2025 - Free NCC Practice Questions and Study Guide

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Which of the following is a characteristic of chronic hypertension in pregnancy?

Hypertension developing after 20 weeks gestation without proteinuria

Hypertension developing before 20 weeks gestation

Chronic hypertension in pregnancy is characterized by elevated blood pressure that exists prior to conception or is diagnosed before 20 weeks of gestation. This condition is important to identify early because it may affect the management of the pregnancy and influence maternal and fetal outcomes. It is distinguished from gestational hypertension, which develops after 20 weeks of gestation and can include the presence of proteinuria, among other symptoms.

Hypertension that occurs after the 20-week mark without the presence of proteinuria is not classified as chronic but is rather indicative of gestational hypertension or preeclampsia if accompanied by proteinuria or severe symptoms. This distinction is essential for accurate diagnosis and management during pregnancy.

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Hypertension with severe headache and visual changes

Hypertension developing after 20 weeks with proteinuria

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