NUR 302 - CH 27 EXAM QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026
What is gestational hypertension? - Answers BP ≥140/90 on two occasions 4 hours apart after 20
weeks gestation with previously normal BP and no proteinuria; resolves after delivery.
What is the time frame for diagnosis of gestational hypertension? - Answers After 20 weeks
gestation.
What is the required BP criteria for hypertensive disorders in pregnancy? - Answers BP ≥140/90 on
two occasions at least 4 hours apart; only one number needs to be elevated.
What happens to gestational hypertension after delivery? - Answers It resolves, but may take 6-12
months.
What is preeclampsia? - Answers Hypertension after 20 weeks gestation with proteinuria or signs of
organ dysfunction.
What is the main difference between gestational hypertension and preeclampsia? - Answers
Presence of protein in urine in preeclampsia.
What are the signs and symptoms of preeclampsia? - Answers Thrombocytopenia, impaired liver
function, renal insufficiency, pulmonary edema, visual changes, headache.
What visual symptoms occur in preeclampsia? - Answers Spots, floaters, blurred vision.
What neurological symptoms occur in preeclampsia? - Answers Headache, cerebral irritation, altered
mental status.
What is eclampsia? - Answers Preeclampsia with seizures in a patient with no prior seizure history.
What are warning signs of eclampsia? - Answers Persistent headache, blurred vision, RUQ/epigastric
pain, altered mental status.
What is HELLP syndrome? - Answers A severe variant of preeclampsia with hemolysis, elevated liver
enzymes, and low platelets.
What does HELLP stand for? - Answers Hemolysis, Elevated Liver enzymes, Low Platelets.
What causes right upper quadrant pain in preeclampsia? - Answers Liver involvement and decreased
liver perfusion.
What is the underlying cause of preeclampsia? - Answers Unknown.
What is the pathophysiology of preeclampsia? - Answers Placental ischemia → endothelial
dysfunction → vasospasm → decreased organ perfusion.
What happens to blood vessels in preeclampsia? - Answers Generalized vasospasm increases BP and
decreases tissue perfusion.
What happens to kidney function in preeclampsia? - Answers Reduced perfusion and possible renal
insufficiency.
What happens to the brain in preeclampsia? - Answers Cerebral edema, hemorrhage, CNS irritability.
What happens to the liver in preeclampsia? - Answers Decreased perfusion and elevated liver
enzymes.
What risk factors increase likelihood of preeclampsia? - Answers Multifetal gestation, chronic HTN,
diabetes, thrombophilia, limited sperm exposure, paternal factors.
What is chronic hypertension in pregnancy? - Answers Hypertension present before pregnancy.
What position should BP be taken in pregnancy? - Answers Semi-Fowler's position.
What is a sign of elevated BP in pregnancy? - Answers Hot ears.
What labs are used to diagnose proteinuria? - Answers 24-hour urine collection.
What reflex changes are assessed in preeclampsia? - Answers Hyperactive reflexes and clonus.
What is the goal of care for gestational hypertension or mild preeclampsia? - Answers Maintain
maternal safety and deliver healthy newborn near term.
What is outpatient management for mild cases? - Answers Labs, fetal monitoring, activity restriction
(no proven benefit of bedrest).
What is the goal of care for severe preeclampsia? - Answers Maternal safety and planning delivery.
What is expectant management? - Answers Delaying delivery if <37 weeks with close monitoring.
What medications are given for fetal lung maturity? - Answers Corticosteroids.
What monitoring is done during labor in preeclampsia? - Answers Continuous fetal heart rate and
contraction monitoring.
What environmental changes are made for severe preeclampsia? - Answers Dark, quiet room with
seizure precautions.
What complication must be monitored for during severe preeclampsia? - Answers Placental
abruption.
What is gestational hypertension? - Answers BP ≥140/90 on two occasions 4 hours apart after 20
weeks gestation with previously normal BP and no proteinuria; resolves after delivery.
What is the time frame for diagnosis of gestational hypertension? - Answers After 20 weeks
gestation.
What is the required BP criteria for hypertensive disorders in pregnancy? - Answers BP ≥140/90 on
two occasions at least 4 hours apart; only one number needs to be elevated.
What happens to gestational hypertension after delivery? - Answers It resolves, but may take 6-12
months.
What is preeclampsia? - Answers Hypertension after 20 weeks gestation with proteinuria or signs of
organ dysfunction.
What is the main difference between gestational hypertension and preeclampsia? - Answers
Presence of protein in urine in preeclampsia.
What are the signs and symptoms of preeclampsia? - Answers Thrombocytopenia, impaired liver
function, renal insufficiency, pulmonary edema, visual changes, headache.
What visual symptoms occur in preeclampsia? - Answers Spots, floaters, blurred vision.
What neurological symptoms occur in preeclampsia? - Answers Headache, cerebral irritation, altered
mental status.
What is eclampsia? - Answers Preeclampsia with seizures in a patient with no prior seizure history.
What are warning signs of eclampsia? - Answers Persistent headache, blurred vision, RUQ/epigastric
pain, altered mental status.
What is HELLP syndrome? - Answers A severe variant of preeclampsia with hemolysis, elevated liver
enzymes, and low platelets.
What does HELLP stand for? - Answers Hemolysis, Elevated Liver enzymes, Low Platelets.
What causes right upper quadrant pain in preeclampsia? - Answers Liver involvement and decreased
liver perfusion.
What is the underlying cause of preeclampsia? - Answers Unknown.
What is the pathophysiology of preeclampsia? - Answers Placental ischemia → endothelial
dysfunction → vasospasm → decreased organ perfusion.
What happens to blood vessels in preeclampsia? - Answers Generalized vasospasm increases BP and
decreases tissue perfusion.
What happens to kidney function in preeclampsia? - Answers Reduced perfusion and possible renal
insufficiency.
What happens to the brain in preeclampsia? - Answers Cerebral edema, hemorrhage, CNS irritability.
What happens to the liver in preeclampsia? - Answers Decreased perfusion and elevated liver
enzymes.
What risk factors increase likelihood of preeclampsia? - Answers Multifetal gestation, chronic HTN,
diabetes, thrombophilia, limited sperm exposure, paternal factors.
What is chronic hypertension in pregnancy? - Answers Hypertension present before pregnancy.
What position should BP be taken in pregnancy? - Answers Semi-Fowler's position.
What is a sign of elevated BP in pregnancy? - Answers Hot ears.
What labs are used to diagnose proteinuria? - Answers 24-hour urine collection.
What reflex changes are assessed in preeclampsia? - Answers Hyperactive reflexes and clonus.
What is the goal of care for gestational hypertension or mild preeclampsia? - Answers Maintain
maternal safety and deliver healthy newborn near term.
What is outpatient management for mild cases? - Answers Labs, fetal monitoring, activity restriction
(no proven benefit of bedrest).
What is the goal of care for severe preeclampsia? - Answers Maternal safety and planning delivery.
What is expectant management? - Answers Delaying delivery if <37 weeks with close monitoring.
What medications are given for fetal lung maturity? - Answers Corticosteroids.
What monitoring is done during labor in preeclampsia? - Answers Continuous fetal heart rate and
contraction monitoring.
What environmental changes are made for severe preeclampsia? - Answers Dark, quiet room with
seizure precautions.
What complication must be monitored for during severe preeclampsia? - Answers Placental
abruption.
