hypertension RELIAS EXAM,||Verified Exam!!! Most
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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? - Answers-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? - Answers-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
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grams/hour.*Magnesium levels may need to be monitored
in patients with renal insufficiency. - Answers-*Magnesium
levels may need to be monitored in patients with renal
insufficiency.$$$$
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? -
Answers-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? - Answers-Check creatinine immediately
IV labetalol immediately
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*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? - Answers-*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? - Answers-$.
*Hemolysis can result when red blood cells pass through
vasoconstricted microvasculature and become
fragmented.
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*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 - Answers-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 -
Answers-SBAR
"Stop the Line" phrase