Family Nurse Practitioner Exam

Which outpatient treatment is recommended for mild preeclampsia?

1. Severe sodium restriction

2. Restrict fluid intake to less than 1 liter per 24 hours

3. Aldomet (methyldopa) 250 mg PO BID

4. Bed rest on the left side with bathroom privileges

The correct answer is: Bed rest on the left side with bathroom privileges

In the case of mild preeclampsia, the recommended outpatient treatment focuses on monitoring and managing symptoms while ensuring the safety of both the mother and the fetus. Bed rest, particularly in the left lateral position, is beneficial because it can help improve placental perfusion and reduce the pressure of the uterus on major blood vessels. This position promotes better blood flow and can alleviate some of the symptoms associated with preeclampsia. Moreover, allowing bathroom privileges maintains the patient's dignity and comfort while addressing the need for regular activity. It is crucial that the mother is monitored closely in an outpatient setting, and lifestyle adjustments such as bed rest can support maternal well-being while reducing the risk of progression to more severe forms of the condition. In contrast, severe sodium restriction, fluid intake restriction, or certain medications are generally not recommended in outpatient settings for mild preeclampsia. Instead, such measures are typically considered for more advanced cases or within a hospital setting where the patient can be closely monitored. The outpatient management strategy primarily focuses on rest, regular check-ups, and a supportive environment.