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CJE Maternity Review Part 1 Questions and Verified
Answers 2025/2026 | Comprehensive OB Nursing
Exam Prep | Gestational Hypertension, Preeclampsia,
Eclampsia & Magnesium Sulfate Study Guide
This condition happens when you only have high blood pressure during pregnancy and do
not have protein in your urine or other heart or kidney problems
gestational hypertension
This is an early development of gestational hypertension
gestational trophoblastic disease
What cause gestational hypertension
some conditions may increase the risk such as pre-existing hypertension, or kidney
disease
Problems with how well blood circulates in the placenta may lead to
irregular regulation of blood pressure in the mother
Who is at high risk for gestational hypertension
having high blood pressure before pregnancy or with a past pregnancy, having kidney
disease, and having diabetes
True or false vasospasms contributing to poor perfusion can lead to gestational
hypertension
true
When does gestational hypertension typically occur
begins after 20 weeks gestation with BP: 140/90 or greater
Selected all that apply what are risk factors for gestational hypertension
A. Over age 35
B. Adolescents
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C. African American
D. Over weight
E. Diabetes
F. Anemia
G. Nulligravida
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H. Family history
J. Multifetal gestation
all are correct
True or false the only one cure for gestational hypertension is delivery the baby
true
Selected all that apply what are some therapeutic management for gestational hypertension
A. Continuous fetal monitoring
B. Monitor maternal vital signs
C. Monitor lab values
D. Assess for clonus
E. Seizure precautions
F. Monitor seizure activity
G. Daily weights
H. Neuro checks
all are correct
Hydralazine, Labetalol, Nifedipine, and Methyldopa all are antihypertensive medications used
to treat
gestational hypertension
Selected all that apply what are some therapeutic management for gestational hypertension
A. Prophylaxis low-dose aspirin
B. Administer antihypertensive
C. Administer anticonvulsant
D. Administer steroids to mature fetal lungs
A, B, C, D
This is a type of drug used to treat high blood pressure, there are many different types of this
drug and each work in different ways to lower blood pressure. Some remove extra fluid and
salt from the body.
antihypertensive
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True or false the use of antihypertensive are recommend to be use during pregnancy for the
treatment of severe BP elevations and chronic hypertension
true
What are some approved first-line antihypertensive that are recommend to be used during
pregnancy
labetalol, nifedipine, and methyldopa
Which antihypertensive is used intravenous to treat hypertension during pregnancy
hydralazine and labetalol
True or false because of the low levels of methyldopa in breastmilk, amounts ingested
by the infant are small and would not be expected to cause any adverse effects in
breastfed infants
true
True or false mothers who are breastfeeding older infants, the use of captopril, enalapril, or
quinapril may be considered if an ACE inhibitor is necessary for the mother. Careful
followup of the infant for possible signs of hypotension is recommended.
true
This occurs when blood pressure is much lower than normal, this means the heart,
brain, and other parts of the body may not get enough blood
hypotension
Select all that apply, how do you treat hypotension during pregnancy
A. Avoid getting up quickly when you're seated or lying down.
B. Don't stand for long periods of time.
C. Eat small meals throughout the day.
D. Don't take very hot baths or showers.
E. Drink more water.
F. Wear loose clothing.
all are correct
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