During a prenatal visit, a nurse notes that a patient has symptoms consistent with PIH. What is the first nursing intervention?

Prepare for the NACE Care of Childbearing Family Test. Challenge yourself with flashcards and multiple-choice questions, each detailed with hints and explanations. Ensure your success!

When a patient presents with symptoms consistent with pregnancy-induced hypertension (PIH), the first nursing intervention should always be to check the blood pressure. This step is crucial because it establishes a baseline measurement and confirms whether the patient is indeed experiencing hypertension. Monitoring the blood pressure not only aids in diagnosing PIH but also helps in assessing any potential risks to both the mother and the fetus.

If hypertension is confirmed, it guides subsequent interventions, such as whether further testing is needed, recommending bed rest, or providing education about the condition. This approach ensures that the nursing care is based on accurate and timely information, allowing for the best possible outcomes for the patient and their child. Taking this initial step of measuring blood pressure fits within the nursing process, prioritizing patient assessment before moving on to other interventions or education.

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