Hypertension in Clinical Practice:
Comprehensive Relias Exam Results
(Fully Correct)
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 Ans- 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 Ans- 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 Ans- *Magnesium levels may need to be monitored in patients with renal
insufficiency.$$$$
If a null gravid patient would like to know her risk of preeclampsia with pregnancy,
which lab tests are most useful in predicting the risk of developing preeclampsia?
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?
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?
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?
*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 Ans- 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
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 Ans- Induction of labor is not recommended in patients with HELLP
syndrome.???
Comprehensive Relias Exam Results
(Fully Correct)
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 Ans- 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 Ans- 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 Ans- *Magnesium levels may need to be monitored in patients with renal
insufficiency.$$$$
If a null gravid patient would like to know her risk of preeclampsia with pregnancy,
which lab tests are most useful in predicting the risk of developing preeclampsia?
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?
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?
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?
*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 Ans- 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
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 Ans- Induction of labor is not recommended in patients with HELLP
syndrome.???
