hypertension RELIAS |2025 Update |Actual Exam Set Questions And
hypertension RELIAS
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1. All of the following biochemical markers/laboratory put, creat, liver enzymes..
tests can have value in evaluating patients with sus- not uric acid?
pected preeclampsia, but which of these is NOT includ-
ed in establishing the actual diagnosis?
2. According to the recent American College of Obstetri- uncontrollable hyperten-
cians and Gynecologists guidelines, which of the fol- sion
lowing is a contraindication to expectant management
(for up to 48 hours for full corticosteroid benefit) of
preeclampsia with severe features?
3. Magnesium sulfate is the medication of choice to pre- *Magnesium levels may
vent and treat eclamptic seizures. Which of the fol- need to be monitored in
lowing statements about magnesium sulfate is accu- patients with renal insuffi-
rate?Can only be administered intravenously even if ciency.$$$$
an intravenous line is not in place.In a patient with
recurrent seizures who is currently on magnesium
sulfate, this medication should be immediately aban-
doned.The typical maintenance dose for magnesium
sulfate is between 4-6 grams/hour.*Magnesium levels
may need to be monitored in patients with renal insuf-
ficiency.
4. If a nulligravid patient would like to know her risk of Anticardiolipin antibody
preeclampsia with pregnancy, which lab tests are most Calcium
useful in predicting the risk of developing preeclamp- Magnesium
sia? Creatinine
*None of the choices
5. Ms. Lee is a 33-year-old G1P1 who had labor induc- Check creatinine immedi-
tion for preeclampsia with severe features, resulting ately
in a vaginal delivery 3 hours ago. She remains on IV labetalol immediately
, hypertension RELIAS
Study online at https://quizlet.com/_9pt5df
magnesium sulfate IV. Her BPs have remained in the *Calcium gluconate im-
150s/90s mm Hg on oral labetalol, and her lab exams mediately
were all within normal limits except creatinine, which *Stop magnesium sulfate
is 1.5mg/dL. She reports that she is short of breath and
feels chest heaviness. She then becomes unrespon-
sive. What are the correct actions at this time?
6. A 30-year-old G2P1 at 36 weeks is diagnosed with *Change the diagnosis to
mild gestational hypertension (blood pressure range severe gestational hyper-
140-150/90-95 mm Hg), and close maternal and fetal tension.
outpatient monitoring is initiated. If the patient pre- Change the diagnosis to
sents 1 week later with a persistent headache but no preeclampsia with severe
proteinuria, how would your diagnosis change? features.
Change the diagnosis to
preeclampsia without se-
vere features.
No change in diagnosis
7. Hematologic abnormalities are common clinical man- $.
ifestations of preeclampsia and other hypertensive *Hemolysis can result
disorders of pregnancy. Which of the following state- when red blood cells
ments are accurate? pass through vasocon-
stricted microvasculature
and become fragmented.
*Thrombocytopenia can
occur from the acceler-
ated use of platelets to
form clots in damaged mi-
crovasculature.
8. Which of the following are considered major risk fac- Chronic htx, smoking, anti
tors for the development of preeclampsia? phospholipid
, hypertension RELIAS
Study online at https://quizlet.com/_9pt5df
Select 3 answers.
Chronic hypertension
Caucasian race
Cigarette smoking
Multiple gestation
Antiphospholipid syndrome
9. A 40-year-old G1P0 is admitted at 34 weeks' gesta- SBAR
tion with a diagnosis of preeclampsia with severe fea- "Stop the Line" phrase
tures. The patient's blood pressure is 170/110 mm Hg. *CUSS
Her nurse is starting magnesium sulfate when the Validate and Verify
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 situ-
ation?SBAR"Stop the Line" phrase*CUSSValidate and
VerifyShout out/call back
10. Which of the following statements are true about Induction of labor is not
mode of delivery in patients with preeclampsia/HIP? recommended in patients
Select all that apply. with HELLP syndrome.???
Induction of labor is not recommended in patients For women undergoing
with HELLP syndrome. labor induction, the likeli-
Induction of labor should not be attempted in patients hood of cesarean delivery
who are on magnesium sulfate. increases with decreasing
For women undergoing labor induction, the likelihood gestational age.???
of cesarean delivery increases with decreasing gesta- Cesarean delivery rates are
tional age. >90% when labor induc-
Cesarean delivery rates are >90% when labor induction tion is attempted at a ges-
is attempted at a gestational age <28 weeks. tational age <28 weeks.???
If cesarean delivery is indicated, magnesium sulfate
should be discontinued during the procedure.
hypertension RELIAS
VerifiedStudyAnswers (Correct solutions) | Get It 100% Accurate!!
online at https://quizlet.com/_9pt5df
1. All of the following biochemical markers/laboratory put, creat, liver enzymes..
tests can have value in evaluating patients with sus- not uric acid?
pected preeclampsia, but which of these is NOT includ-
ed in establishing the actual diagnosis?
2. According to the recent American College of Obstetri- uncontrollable hyperten-
cians and Gynecologists guidelines, which of the fol- sion
lowing is a contraindication to expectant management
(for up to 48 hours for full corticosteroid benefit) of
preeclampsia with severe features?
3. Magnesium sulfate is the medication of choice to pre- *Magnesium levels may
vent and treat eclamptic seizures. Which of the fol- need to be monitored in
lowing statements about magnesium sulfate is accu- patients with renal insuffi-
rate?Can only be administered intravenously even if ciency.$$$$
an intravenous line is not in place.In a patient with
recurrent seizures who is currently on magnesium
sulfate, this medication should be immediately aban-
doned.The typical maintenance dose for magnesium
sulfate is between 4-6 grams/hour.*Magnesium levels
may need to be monitored in patients with renal insuf-
ficiency.
4. If a nulligravid patient would like to know her risk of Anticardiolipin antibody
preeclampsia with pregnancy, which lab tests are most Calcium
useful in predicting the risk of developing preeclamp- Magnesium
sia? Creatinine
*None of the choices
5. Ms. Lee is a 33-year-old G1P1 who had labor induc- Check creatinine immedi-
tion for preeclampsia with severe features, resulting ately
in a vaginal delivery 3 hours ago. She remains on IV labetalol immediately
, hypertension RELIAS
Study online at https://quizlet.com/_9pt5df
magnesium sulfate IV. Her BPs have remained in the *Calcium gluconate im-
150s/90s mm Hg on oral labetalol, and her lab exams mediately
were all within normal limits except creatinine, which *Stop magnesium sulfate
is 1.5mg/dL. She reports that she is short of breath and
feels chest heaviness. She then becomes unrespon-
sive. What are the correct actions at this time?
6. A 30-year-old G2P1 at 36 weeks is diagnosed with *Change the diagnosis to
mild gestational hypertension (blood pressure range severe gestational hyper-
140-150/90-95 mm Hg), and close maternal and fetal tension.
outpatient monitoring is initiated. If the patient pre- Change the diagnosis to
sents 1 week later with a persistent headache but no preeclampsia with severe
proteinuria, how would your diagnosis change? features.
Change the diagnosis to
preeclampsia without se-
vere features.
No change in diagnosis
7. Hematologic abnormalities are common clinical man- $.
ifestations of preeclampsia and other hypertensive *Hemolysis can result
disorders of pregnancy. Which of the following state- when red blood cells
ments are accurate? pass through vasocon-
stricted microvasculature
and become fragmented.
*Thrombocytopenia can
occur from the acceler-
ated use of platelets to
form clots in damaged mi-
crovasculature.
8. Which of the following are considered major risk fac- Chronic htx, smoking, anti
tors for the development of preeclampsia? phospholipid
, hypertension RELIAS
Study online at https://quizlet.com/_9pt5df
Select 3 answers.
Chronic hypertension
Caucasian race
Cigarette smoking
Multiple gestation
Antiphospholipid syndrome
9. A 40-year-old G1P0 is admitted at 34 weeks' gesta- SBAR
tion with a diagnosis of preeclampsia with severe fea- "Stop the Line" phrase
tures. The patient's blood pressure is 170/110 mm Hg. *CUSS
Her nurse is starting magnesium sulfate when the Validate and Verify
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 situ-
ation?SBAR"Stop the Line" phrase*CUSSValidate and
VerifyShout out/call back
10. Which of the following statements are true about Induction of labor is not
mode of delivery in patients with preeclampsia/HIP? recommended in patients
Select all that apply. with HELLP syndrome.???
Induction of labor is not recommended in patients For women undergoing
with HELLP syndrome. labor induction, the likeli-
Induction of labor should not be attempted in patients hood of cesarean delivery
who are on magnesium sulfate. increases with decreasing
For women undergoing labor induction, the likelihood gestational age.???
of cesarean delivery increases with decreasing gesta- Cesarean delivery rates are
tional age. >90% when labor induc-
Cesarean delivery rates are >90% when labor induction tion is attempted at a ges-
is attempted at a gestational age <28 weeks. tational age <28 weeks.???
If cesarean delivery is indicated, magnesium sulfate
should be discontinued during the procedure.
