RELIAS QUESTIONS WITH ACCURATE ANSWERS
(HYPERTENSION)
All of the following biochemical markers/laboratory tests can have value in
evaluating patients with suspected preeclampsia, but which of these is NOT
included in establishing the actual diagnosis? Accurate Answer - put,
creat, liver enzymes.. not uric acid?
According to the recent American College of Obstetricians and Gynecologists
guidelines, which of the following is a contraindication to expectant
management (for up to 48 hours for full corticosteroid benefit) of
preeclampsia with severe features? Accurate Answer - uncontrollable
hypertension
Magnesium sulfate is the medication of choice to prevent and treat eclamptic
seizures. Which of the following statements about magnesium sulfate is
accurate?Can only be administered intravenously even if an intravenous line
is not in place.In a patient with recurrent seizures who is currently on
magnesium sulfate, this medication should be immediately abandoned.The
typical maintenance dose for magnesium sulfate is between 4-6
grams/hour.*Magnesium levels may need to be monitored in patients with
renal insufficiency. Accurate Answer - *Magnesium levels may need to
be monitored in patients with renal insufficiency.$$$$
If a nulligravid patient would like to know her risk of preeclampsia with
pregnancy, which lab tests are most useful in predicting the risk of developing
preeclampsia? Accurate Answer - Anticardiolipin antibody
Calcium
Magnesium
Creatinine
*None of the choices
Ms. Lee is a 33-year-old G1P1 who had labor induction for preeclampsia with
severe features, resulting in a vaginal delivery 3 hours ago. She remains on
magnesium sulfate IV. Her BPs have remained in the 150s/90s mm Hg on oral
labetalol, and her lab exams were all within normal limits except creatinine,
which is 1.5mg/dL. She reports that she is short of breath and feels chest
,heaviness. She then becomes unresponsive. What are the correct actions at
this time? Accurate Answer - Check creatinine immediately
IV labetalol immediately
*Calcium gluconate immediately
*Stop magnesium sulfate
A 30-year-old G2P1 at 36 weeks is diagnosed with mild gestational
hypertension (blood pressure range 140-150/90-95 mm Hg), and close
maternal and fetal outpatient monitoring is initiated. If the patient presents 1
week later with a persistent headache but no proteinuria, how would your
diagnosis change? Accurate Answer - *Change the diagnosis to severe
gestational hypertension.
Change the diagnosis to preeclampsia with severe features.
Change the diagnosis to preeclampsia without severe features.
No change in diagnosis
Hematologic abnormalities are common clinical manifestations of
preeclampsia and other hypertensive disorders of pregnancy. Which of the
following statements are accurate? Accurate Answer - $.
*Hemolysis can result when red blood cells pass through vasoconstricted
microvasculature and become fragmented.
*Thrombocytopenia can occur from the accelerated use of platelets to form
clots in damaged microvasculature.
Which of the following are considered major risk factors for the development
of preeclampsia?
Select 3 answers.
Chronic hypertension
Caucasian race
Cigarette smoking
Multiple gestation
Antiphospholipid syndrome Accurate Answer - Chronic htx, smoking,
anti phospholipid
A 40-year-old G1P0 is admitted at 34 weeks' gestation with a diagnosis of
preeclampsia with severe features. The patient's blood pressure is 170/110
mm Hg. Her nurse is starting magnesium sulfate when the provider walks into
the room. The provider requests that the nurse give labetalol 10 mg IV push.
Which communication tool will the nurse use in this situation?SBAR"Stop the
, Line" phrase*CUSSValidate and VerifyShout out/call back Accurate
Answer - SBAR
"Stop the Line" phrase
*CUSS
Validate and Verify
Which of the following statements are true about mode of delivery in patients
with preeclampsia/HIP?
Select all that apply.
Induction of labor is not recommended in patients with HELLP syndrome.
Induction of labor should not be attempted in patients who are on magnesium
sulfate.
For women undergoing labor induction, the likelihood of cesarean delivery
increases with decreasing gestational age.
Cesarean delivery rates are >90% when labor induction is attempted at a
gestational age <28 weeks.
If cesarean delivery is indicated, magnesium sulfate should be discontinued
during the procedure. Accurate Answer - Induction of labor is not
recommended in patients with HELLP syndrome.???
For women undergoing labor induction, the likelihood of cesarean delivery
increases with decreasing gestational age.???
Cesarean delivery rates are >90% when labor induction is attempted at a
gestational age <28 weeks.???
A 34-year-old G1 at 33 weeks with chronic hypertension is admitted for
further evaluation after a BP of 164/98 mm Hg was found in the clinic. Her
repeat BPs are in the 160s-110s mm Hg and do not decrease with IV
antihypertensives. What are the next steps in her care? Accurate
Answer - *Administer beta steroids and begin labor induction.
*Start magnesium sulfate for seizure prophylaxis.
Cesarean delivery.
Stop IV antihypertensives, and convert to long-acting oral antihypertensives.
Which of the following statements regarding the use of low-dose aspirin for
preeclampsia prevention is correct?
Select an answer.
Use of low-dose aspirin is associated with an increased risk for placental
abruption.
The minimal effective dose of baby aspirin is 81mg/D.
(HYPERTENSION)
All of the following biochemical markers/laboratory tests can have value in
evaluating patients with suspected preeclampsia, but which of these is NOT
included in establishing the actual diagnosis? Accurate Answer - put,
creat, liver enzymes.. not uric acid?
According to the recent American College of Obstetricians and Gynecologists
guidelines, which of the following is a contraindication to expectant
management (for up to 48 hours for full corticosteroid benefit) of
preeclampsia with severe features? Accurate Answer - uncontrollable
hypertension
Magnesium sulfate is the medication of choice to prevent and treat eclamptic
seizures. Which of the following statements about magnesium sulfate is
accurate?Can only be administered intravenously even if an intravenous line
is not in place.In a patient with recurrent seizures who is currently on
magnesium sulfate, this medication should be immediately abandoned.The
typical maintenance dose for magnesium sulfate is between 4-6
grams/hour.*Magnesium levels may need to be monitored in patients with
renal insufficiency. Accurate Answer - *Magnesium levels may need to
be monitored in patients with renal insufficiency.$$$$
If a nulligravid patient would like to know her risk of preeclampsia with
pregnancy, which lab tests are most useful in predicting the risk of developing
preeclampsia? Accurate Answer - Anticardiolipin antibody
Calcium
Magnesium
Creatinine
*None of the choices
Ms. Lee is a 33-year-old G1P1 who had labor induction for preeclampsia with
severe features, resulting in a vaginal delivery 3 hours ago. She remains on
magnesium sulfate IV. Her BPs have remained in the 150s/90s mm Hg on oral
labetalol, and her lab exams were all within normal limits except creatinine,
which is 1.5mg/dL. She reports that she is short of breath and feels chest
,heaviness. She then becomes unresponsive. What are the correct actions at
this time? Accurate Answer - Check creatinine immediately
IV labetalol immediately
*Calcium gluconate immediately
*Stop magnesium sulfate
A 30-year-old G2P1 at 36 weeks is diagnosed with mild gestational
hypertension (blood pressure range 140-150/90-95 mm Hg), and close
maternal and fetal outpatient monitoring is initiated. If the patient presents 1
week later with a persistent headache but no proteinuria, how would your
diagnosis change? Accurate Answer - *Change the diagnosis to severe
gestational hypertension.
Change the diagnosis to preeclampsia with severe features.
Change the diagnosis to preeclampsia without severe features.
No change in diagnosis
Hematologic abnormalities are common clinical manifestations of
preeclampsia and other hypertensive disorders of pregnancy. Which of the
following statements are accurate? Accurate Answer - $.
*Hemolysis can result when red blood cells pass through vasoconstricted
microvasculature and become fragmented.
*Thrombocytopenia can occur from the accelerated use of platelets to form
clots in damaged microvasculature.
Which of the following are considered major risk factors for the development
of preeclampsia?
Select 3 answers.
Chronic hypertension
Caucasian race
Cigarette smoking
Multiple gestation
Antiphospholipid syndrome Accurate Answer - Chronic htx, smoking,
anti phospholipid
A 40-year-old G1P0 is admitted at 34 weeks' gestation with a diagnosis of
preeclampsia with severe features. The patient's blood pressure is 170/110
mm Hg. Her nurse is starting magnesium sulfate when the provider walks into
the room. The provider requests that the nurse give labetalol 10 mg IV push.
Which communication tool will the nurse use in this situation?SBAR"Stop the
, Line" phrase*CUSSValidate and VerifyShout out/call back Accurate
Answer - SBAR
"Stop the Line" phrase
*CUSS
Validate and Verify
Which of the following statements are true about mode of delivery in patients
with preeclampsia/HIP?
Select all that apply.
Induction of labor is not recommended in patients with HELLP syndrome.
Induction of labor should not be attempted in patients who are on magnesium
sulfate.
For women undergoing labor induction, the likelihood of cesarean delivery
increases with decreasing gestational age.
Cesarean delivery rates are >90% when labor induction is attempted at a
gestational age <28 weeks.
If cesarean delivery is indicated, magnesium sulfate should be discontinued
during the procedure. Accurate Answer - Induction of labor is not
recommended in patients with HELLP syndrome.???
For women undergoing labor induction, the likelihood of cesarean delivery
increases with decreasing gestational age.???
Cesarean delivery rates are >90% when labor induction is attempted at a
gestational age <28 weeks.???
A 34-year-old G1 at 33 weeks with chronic hypertension is admitted for
further evaluation after a BP of 164/98 mm Hg was found in the clinic. Her
repeat BPs are in the 160s-110s mm Hg and do not decrease with IV
antihypertensives. What are the next steps in her care? Accurate
Answer - *Administer beta steroids and begin labor induction.
*Start magnesium sulfate for seizure prophylaxis.
Cesarean delivery.
Stop IV antihypertensives, and convert to long-acting oral antihypertensives.
Which of the following statements regarding the use of low-dose aspirin for
preeclampsia prevention is correct?
Select an answer.
Use of low-dose aspirin is associated with an increased risk for placental
abruption.
The minimal effective dose of baby aspirin is 81mg/D.
