# Stage 2 — Analyze cues. Complete the clinical analysis by selecting the best option for each blank.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=568577&lang=en  
> language: en  
> subject: Reduction of Risk Potential  
> category: ROR

## Question

Stage 2 — Analyze cues. Complete the clinical analysis by selecting the best option for each blank.

The findings are most consistent with ::선택::gestational hypertension without severe featurespreeclampsia with severe features and HELLP-spectrum injuryan uncomplicated migraine. The most immediate maternal threats are ::선택::postpartum infection and hypoglycemiapreterm labor onlystroke and eclampsia. Fetal compromise is supported by ::선택::recurrent late decelerations with minimal variabilitya baseline of 145/min by itselfmaternal ankle edema.

## Explanation

The cue cluster supports preeclampsia with severe features and HELLP-spectrum organ injury. Maternal stroke and eclampsia are immediate threats, while recurrent late decelerations with minimal variability indicate fetal compromise.

## In-depth explanation

Quick answer
This is severe preeclampsia with HELLP features; maternal stroke and seizure risk coexist with evidence of fetal compromise.

Why this is correct
The diagnosis comes from the whole cluster, not protein alone: persistent severe pressure, cerebral symptoms, right-upper-quadrant pain, thrombocytopenia, liver injury, and a deteriorating fetal tracing.

Easy analogy or mental picture
Think of a multi-system dashboard: blood pressure, brain symptoms, liver-platelet injury, and the fetal tracing all turn red at once. The dashboard organizes urgency but does not replace obstetric evaluation.

Memory hook
Severe pressure plus organ injury is never just hypertension.

NCLEX decision rule
When severe-range pregnancy blood pressure appears, look immediately for neurologic, pulmonary, renal, liver-platelet, and fetal signs before choosing the priority response.

Why the other choices are wrong
Gestational hypertension without severe features cannot explain the organ injury, and migraine cannot explain the blood-pressure, platelet, liver, and fetal findings.

References
1ACOG: Preeclampsia and High Blood Pressure During PregnancySevere features, maternal-fetal deterioration, hospitalization, and delivery planning
2ACOG Practice Bulletin 222: Gestational Hypertension and PreeclampsiaUrgent blood-pressure control, magnesium monitoring, and severe-feature management; reaffirmed 2026

## Clinical scenario

Case update
The nurse integrates the repeated blood pressures, symptoms, laboratory results, and fetal tracing before the obstetric team arrives.

## Related questions

- [A 52-year-old patient is admitted with severe acute pancreatitis. Lipase is 1,800 U/L and …](https://mymerci.kr/pages/nclex_q.php?qn_id=372851&lang=en)
- [A 68-year-old is admitted for acute uncomplicated diverticulitis with WBC 16,000/uL and pe…](https://mymerci.kr/pages/nclex_q.php?qn_id=372855&lang=en)
- [A patient with end-stage renal disease is post-op day 1 from a left forearm arteriovenous …](https://mymerci.kr/pages/nclex_q.php?qn_id=373261&lang=en)
- [A 72-year-old presents to the ED with sudden right-sided weakness and aphasia. Family stat…](https://mymerci.kr/pages/nclex_q.php?qn_id=373516&lang=en)
- [A 65-year-old is post-op day 1 from a hip arthroplasty. Which nursing action best supports…](https://mymerci.kr/pages/nclex_q.php?qn_id=373882&lang=en)
- [A nurse is implementing the CDC STEADI fall-prevention initiative for community-dwelling o…](https://mymerci.kr/pages/nclex_q.php?qn_id=374875&lang=en)
- [A patient on day 7 of heparin therapy has a platelet count drop from 220,000 to 80,000 ove…](https://mymerci.kr/pages/nclex_q.php?qn_id=374929&lang=en)
- [An 18-year-old with sickle cell disease arrives in vaso-occlusive crisis with severe back …](https://mymerci.kr/pages/nclex_q.php?qn_id=374972&lang=en)

## Read in another language

- [en](https://mymerci.kr/pages/nclex_q.php?qn_id=568577&lang=en)
- [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=568577&lang=ko)
- [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=568577&lang=ja)
- [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=568577&lang=zh-tw)
- [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=568577&lang=vi)

---

More free questions: [NCLEX-RN Practice](https://mymerci.kr/pages/nclex_bank.php?lang=en)

_For study reference only. Always follow current clinical guidelines and your institution’s protocols._