Relias Nursing Management of Hypertensive Disorders in Pregnancy (v2) Test
with Answers Rated A
Your 27-year-old patient is a G4P2. They experienced a
hypertensive emergency. They were stabilized with anti-
hypertensive medications. They are receiving magnesium
sulfate for seizure prophylaxis. You are performing hourly
assessments for magnesium toxicity.
What signs would concern you for magnesium toxicity? Hyperreflexia
Shortness of breath
Select 2 answers.
Hyperreflexia
Severe headache
Decreased fetal movement
Shortness of breath
What is the purpose of implementing patient safety bun-
dle initiatives, such as those established by the Alliance for
Innovation on Maternal Health for hypertensive disorders
in pregnancy (HDP)? To access unit-specific medication treatment algorithms.
Select 3 answers. To improve readiness for and response to HDP-related
events.
To access unit-specific medication treatment algorithms.
To improve readiness for and response to HDP-related To increase prevention and recognition of HDP-related
events. events.
To guide standardized HDP statt training initiatives.
To increase prevention and recognition of HDP-related
events.
A patient is at 32 weeks' gestation. They were diagnosed
with superimposed preeclampsia without severe features.
They are in triage. Their BP is 152/94 mm Hg. They report
visual disturbances and severe headaches. The urine dip-
stick is +1 for proteinuria.
, Relias Nursing Management of Hypertensive Disorders in Pregnancy (v2) Test
with Answers Rated A
What interventions would you anticipate as part of their
care plan?
Select 2 answers. Prompt corticosteroid administration.
Administration of magnesium sulfate.
Immediate cesarean delivery.
Prompt corticosteroid administration.
Administration of magnesium sulfate.
Immediate induction of labor.
At what gestational age is gestational hypertension de-
After 20 weeks' gestation and resolving postpartum.
fined by its appearance?
What is TRUE about the signs and symptoms of HELLP
syndrome
Hypertension and proteinuria are always present. Most patients present with right upper quadrant pain
Most patients present with right upper quadrant pain.
Few patients experience nausea and vomiting.
Symptoms generally worsen slowly over time.
Your patient has hypertensive disorders in pregnancy
(HDP).
To identify abnormal assessment criteria in the obstetric
population.
What would be the purpose of using the Modified Early
Obstetric Warning System?
Your patient is confined to the hospital bed. What would
be an important nursing responsibility to assist the labor- Assist with position changes every 30 minutes.
ing?
Your postpartum patient was diagnosed with superim-
posed preeclampsia with severe features. They are set to
Within 3 days
be discharged. Following discharge, how soon should the
recommended follow-up appointment be scheduled?
with Answers Rated A
Your 27-year-old patient is a G4P2. They experienced a
hypertensive emergency. They were stabilized with anti-
hypertensive medications. They are receiving magnesium
sulfate for seizure prophylaxis. You are performing hourly
assessments for magnesium toxicity.
What signs would concern you for magnesium toxicity? Hyperreflexia
Shortness of breath
Select 2 answers.
Hyperreflexia
Severe headache
Decreased fetal movement
Shortness of breath
What is the purpose of implementing patient safety bun-
dle initiatives, such as those established by the Alliance for
Innovation on Maternal Health for hypertensive disorders
in pregnancy (HDP)? To access unit-specific medication treatment algorithms.
Select 3 answers. To improve readiness for and response to HDP-related
events.
To access unit-specific medication treatment algorithms.
To improve readiness for and response to HDP-related To increase prevention and recognition of HDP-related
events. events.
To guide standardized HDP statt training initiatives.
To increase prevention and recognition of HDP-related
events.
A patient is at 32 weeks' gestation. They were diagnosed
with superimposed preeclampsia without severe features.
They are in triage. Their BP is 152/94 mm Hg. They report
visual disturbances and severe headaches. The urine dip-
stick is +1 for proteinuria.
, Relias Nursing Management of Hypertensive Disorders in Pregnancy (v2) Test
with Answers Rated A
What interventions would you anticipate as part of their
care plan?
Select 2 answers. Prompt corticosteroid administration.
Administration of magnesium sulfate.
Immediate cesarean delivery.
Prompt corticosteroid administration.
Administration of magnesium sulfate.
Immediate induction of labor.
At what gestational age is gestational hypertension de-
After 20 weeks' gestation and resolving postpartum.
fined by its appearance?
What is TRUE about the signs and symptoms of HELLP
syndrome
Hypertension and proteinuria are always present. Most patients present with right upper quadrant pain
Most patients present with right upper quadrant pain.
Few patients experience nausea and vomiting.
Symptoms generally worsen slowly over time.
Your patient has hypertensive disorders in pregnancy
(HDP).
To identify abnormal assessment criteria in the obstetric
population.
What would be the purpose of using the Modified Early
Obstetric Warning System?
Your patient is confined to the hospital bed. What would
be an important nursing responsibility to assist the labor- Assist with position changes every 30 minutes.
ing?
Your postpartum patient was diagnosed with superim-
posed preeclampsia with severe features. They are set to
Within 3 days
be discharged. Following discharge, how soon should the
recommended follow-up appointment be scheduled?
