1
HYPERTENSION RELIAS EXAM (UPDATED 2025/2026)
– QUESTIONS WITH COMPLETE SOLUTIONS –
VERIFIED & GRADED A+
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? - correct-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? - correct-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. - correct-
answer -*Magnesium levels may need to be monitored in patients with renal
insufficiency.$$$$
, 2
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?
- correct-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? - correct-
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? -
correct-answer -*Change the diagnosis to severe gestational hypertension.
, 3
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? - correct-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 - correct-answer -Chronic htx, smoking, anti
phospholipid
, 4
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 - correct-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. - correct-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.???
HYPERTENSION RELIAS EXAM (UPDATED 2025/2026)
– QUESTIONS WITH COMPLETE SOLUTIONS –
VERIFIED & GRADED A+
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? - correct-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? - correct-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. - correct-
answer -*Magnesium levels may need to be monitored in patients with renal
insufficiency.$$$$
, 2
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?
- correct-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? - correct-
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? -
correct-answer -*Change the diagnosis to severe gestational hypertension.
, 3
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? - correct-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 - correct-answer -Chronic htx, smoking, anti
phospholipid
, 4
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 - correct-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. - correct-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.???
